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General NPI Number Information
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NPI Number | 1740752617
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Entity Type | Individual
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Provider Name | JASBIR S LOHAN
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Gender | Male
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 825 SAN ANTONIO RD STE 102
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City | PALO ALTO
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State | CA
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Zip | 94303-4620
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Country | US
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Telephone | 415-525-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 7172 REGIONAL ST # 356
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City | DUBLIN
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State | CA
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Zip | 94568-2324
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Country | US
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Telephone | 415-525-6057
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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