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General NPI Number Information
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NPI Number | 1902329444
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Entity Type | Individual
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Provider Name | SHAWN SINGH UPPAL
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Gender | Male
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4531 SUNNY OAK DR
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City | TURLOCK
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State | CA
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Zip | 95382-8665
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Country | US
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Telephone | 916-897-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 4531 SUNNY OAK DR
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City | TURLOCK
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State | CA
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Zip | 95382-8665
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Country | US
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Telephone | 916-897-3332
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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 | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State | CA
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