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General NPI Number Information
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NPI Number | 1700940533
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Entity Type | Individual
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Provider Name | HARPAL SINGH GILL D.C
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 4299 MACARTHUR BLVD STE 106
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2019
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Country | US
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Telephone | 949-222-2215
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CALLE LOYOLA
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-7058
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Country | US
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Telephone | 312-933-8912
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-010190
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License Number State | IL
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