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General NPI Number Information
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NPI Number | 1598200198
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Entity Type | Organization
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Legal Business Name | ASHA PRITPAL SINGH SIDHU MD INC
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 5771 N FRESNO ST SUITE 109
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City | FRESNO
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State | CA
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Zip | 93710-6091
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Country | US
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Telephone | 559-222-6500
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Fax | 559-222-6555
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Provider Business Mailing Address
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Address Line | 5771 N FRESNO ST SUITE 109
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City | FRESNO
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State | CA
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Zip | 93710-6091
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Country | US
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Telephone | 559-222-6500
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Fax | 559-222-6555
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHA PRITPAL SINGH SIDHU
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Credential | M.D.
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Telephone | 559-222-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A066417
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License Number State | CA
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