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General NPI Number Information
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NPI Number | 1538301379
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Entity Type | Organization
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Legal Business Name | AMARPAUL S SIDHU, M. D
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2301 E FOOTHILL BLVD SUITE 100
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City | GLENDORA
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State | CA
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Zip | 91740-4000
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Country | US
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Telephone | 626-852-3376
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Fax | 626-852-3375
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Provider Business Mailing Address
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Address Line | 2301 E FOOTHILL BLVD SUITE 100
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City | GLENDORA
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State | CA
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Zip | 91740-4000
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Country | US
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Telephone | 626-852-3376
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Fax | 626-852-3375
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Authorized Official
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Title or Position | OWNER
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Name | AMARPAUL S SIDHU
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Credential | M.D
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Telephone | 626-852-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A73248
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License Number State | CA
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