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General NPI Number Information
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NPI Number | 1659423093
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Entity Type | Individual
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Provider Name | SURJIT KAUR NIJJAR PA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 2055 TOWN CENTER PLZ STE G130
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-5058
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Country | US
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Telephone | 800-972-5547
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 HOSPITAL DR
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City | SACRAMENTO
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State | CA
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Zip | 95823-5403
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Country | US
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Telephone | 916-423-6126
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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 | PA18757
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License Number State | CA
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