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General NPI Number Information
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NPI Number | 1548641152
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Entity Type | Organization
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Legal Business Name | G SEKHON, A PC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 3031 W MARCH LN STE 328
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City | STOCKTON
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State | CA
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Zip | 95219-6562
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Country | US
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Telephone | 209-594-0485
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Fax | 209-594-0720
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Provider Business Mailing Address
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Address Line | 9307 LAGUNA SPRINGS DR SUITE 110
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City | ELK GROVE
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State | CA
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Zip | 95758-7836
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Country | US
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Telephone | 916-691-1650
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Fax | 916-691-0976
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Authorized Official
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Title or Position | OWNER
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Name | DR. GURSIMRAT K SEKHON
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Credential | D.D.S.
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Telephone | 209-594-0485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 50820
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50820
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License Number State | CA
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