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General NPI Number Information
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NPI Number | 1598940223
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Entity Type | Individual
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Provider Name | GURBIR S DHALIWAL MD
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Gender | Male
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 440 PLUMAS BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-5071
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Country | US
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Telephone | 530-749-3346
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Fax | 530-749-3476
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Provider Business Mailing Address
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Address Line | 10470 OLD PLACERVILLE RD SUITE 100
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City | SACRAMENTO
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State | CA
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Zip | 95827-2539
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Country | US
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Telephone | 800-470-0071
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 41270
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A120598
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License Number State | CA
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