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General NPI Number Information
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NPI Number | 1548243827
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Entity Type | Individual
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Provider Name | GURSHARAN KAUR GILL MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 815 BAY AVE SUITE B
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City | CAPITOLA
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State | CA
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Zip | 95010-2186
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Country | US
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Telephone | 831-460-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 W EL CAMINO REAL 2ND FLOOR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-6201
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Country | US
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Telephone | 707-303-6424
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Fax |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A88412
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License Number State | CA
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