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General NPI Number Information
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NPI Number | 1891566436
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Entity Type | Individual
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Provider Name | SUKHJINDER VIRDI
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Gender | Female
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 36325 EASTERDAY WAY
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City | FREMONT
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State | CA
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Zip | 94536-1673
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Country | US
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Telephone | 669-240-3896
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Fax |
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Provider Business Mailing Address
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Address Line | 6236 THORNTON AVE
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City | NEWARK
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State | CA
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Zip | 94560-3732
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Country | US
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Telephone | 510-248-1860
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Fax | 510-797-0236
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95028284
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License Number State | CA
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