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NPI 1508810169

NPI 1508810169 : CALIFORNIA HEART CENTER : YUBA CITY, CA

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General NPI Number Information
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    NPI Number           |    1508810169
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    Entity Type          |    Organization 
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    Legal Business Name  |    CALIFORNIA HEART CENTER 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    11/09/2010
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Provider Practice Location Address
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    Address Line         |    481 PLUMAS BLVD SUITE 201
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95991-5075
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    Country              |    US
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    Telephone            |    530-634-9988
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    Fax                  |    530-634-9788
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Provider Business Mailing Address
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    Address Line         |    481 PLUMAS BLVD SUITE 201
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95991-5075
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    Country              |    US
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    Telephone            |    530-634-9988
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    Fax                  |    530-634-9788
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     NARINDER SINGH BAJWA 
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    Credential           |    MD
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    Telephone            |    530-634-9988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    A43906
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    License Number State |    CA
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