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General NPI Number Information
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NPI Number | 1639843923
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Entity Type | Individual
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Provider Name | HERJOT KAUR BADESHA PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 520 BOGUE RD SUITE E6
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City | YUBA CITY
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State | CA
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Zip | 95991
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Country | US
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Telephone | 530-844-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 9136 IDA STREET
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City | LIVE OAK
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State | CA
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Zip | 95953
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Country | US
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Telephone | 209-648-9887
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA59832
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License Number State | CA
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