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General NPI Number Information
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NPI Number | 1740724186
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Entity Type | Individual
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Provider Name | SURINDERPAL SINGH SARAI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2016
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Last Update Date | 12/04/2016
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Provider Practice Location Address
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Address Line | 1596 STATE HIGHWAY 99
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City | GRIDLEY
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State | CA
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Zip | 95948-3121
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Country | US
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Telephone | 530-846-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 2853 EPPERSON WAY
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City | LIVE OAK
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State | CA
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Zip | 95953-2084
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Country | US
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Telephone | 530-301-8924
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 76027
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License Number State | CA
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