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General NPI Number Information
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NPI Number | 1760827125
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Entity Type | Individual
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Provider Name | CHARANJIT K GILL DDS
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Gender | Female
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 2848 WEST ASHLAN AVE
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City | FRESNO
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State | CA
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Zip | 93705
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Country | US
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Telephone | 559-646-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 3875 W BEECHWOOD AVE
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City | FRESNO
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State | CA
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Zip | 93711-0795
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Country | US
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Telephone | 559-646-6618
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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 | DEN.00201937
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 37031
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS108657
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License Number State | CA
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