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General NPI Number Information
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NPI Number | 1831730514
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Entity Type | Individual
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Provider Name | AMNEET KAUR BRAR NP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 4695 MACARTHUR CT # 1112A
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1882
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Country | US
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Telephone | 84-446-9226
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Fax |
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Provider Business Mailing Address
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Address Line | 2234 VERMONT AVE
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City | CLOVIS
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State | CA
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Zip | 93619-4283
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Country | US
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Telephone | 559-260-0566
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 95101423
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95012840
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License Number State | CA
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