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General NPI Number Information
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NPI Number | 1700932084
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Entity Type | Organization
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Legal Business Name | MOHINDER S NIJJAR MD INC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1400 FLORIDA AVE SUITE 8
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City | MODESTO
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State | CA
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Zip | 95350-4446
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Country | US
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Telephone | 800-245-7899
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Fax | 209-545-3355
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Provider Business Mailing Address
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Address Line | PO BOX 576568
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City | MODESTO
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State | CA
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Zip | 95357-6568
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Country | US
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Telephone | 209-531-3600
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Fax | 209-545-3355
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Authorized Official
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Title or Position | OWNER DBA
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Name | DR. MOHINDER NIJJAR
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Credential | MD
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Telephone | 209-531-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A36057
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License Number State | CA
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