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General NPI Number Information
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NPI Number | 1851645287
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Entity Type | Individual
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Provider Name | AMARPREET KAUR SIDHU PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 16858 GOLDEN VALLEY PARKWAY
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City | LATHROP
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State | CA
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Zip | 95330
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Country | US
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Telephone | 209-357-4820
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Fax |
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Provider Business Mailing Address
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Address Line | 3526 YORK LN
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City | SAN RAMON
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State | CA
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Zip | 94582-5821
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Country | US
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Telephone | 925-353-0945
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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 | 66199
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License Number State | CA
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