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General NPI Number Information
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NPI Number | 1730494113
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Entity Type | Individual
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Provider Name | RAMANDEEP KAUR GILL DDS
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 1148 S MAIN ST
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City | MANTECA
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State | CA
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Zip | 95337-9505
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Country | US
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Telephone | 209-249-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 MAEHL DR
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City | MANTECA
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State | CA
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Zip | 95337-7215
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Country | US
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Telephone | 925-818-9455
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 62882
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License Number State | CA
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