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General NPI Number Information
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NPI Number | 1528121852
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Entity Type | Individual
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Provider Name | SATNAM S ATWAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 7055 N CHESTNUT AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-0350
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Country | US
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Telephone | 559-298-5111
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Fax | 559-298-3111
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Provider Business Mailing Address
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Address Line | 7055 N CHESTNUT AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-0350
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Country | US
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Telephone | 559-435-7337
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Fax | 559-435-6548
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A45196
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License Number State | CA
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