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General NPI Number Information
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NPI Number | 1720531726
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Entity Type | Individual
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Provider Name | INDERPREET SINGH VIRK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | CALIFORNIA MEDICAL FACILITY 1600 CALIFORNIA DRIVE
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City | VACAVILLE
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State | CA
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Zip | 95687
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Country | US
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Telephone | 692-261-1571
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Fax |
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Provider Business Mailing Address
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Address Line | 3583 VISTA DE MADERA
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City | LINCOLN
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State | CA
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Zip | 95648-7935
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Country | US
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Telephone | 669-226-1571
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A161644
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License Number State | CA
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