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General NPI Number Information
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NPI Number | 1568184695
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Entity Type | Individual
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Provider Name | AMANDEEP KAUR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1212 HANNA AVE
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City | CORCORAN
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State | CA
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Zip | 93212-2313
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Country | US
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Telephone | 559-992-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 440 NIMITZ AVE
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City | CORCORAN
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State | CA
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Zip | 93212-1587
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Country | US
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Telephone | 559-759-0733
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95022438
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License Number State | CA
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