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General NPI Number Information
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NPI Number | 1912985888
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Entity Type | Individual
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Provider Name | ARSHDEEP SINGH JAWANDHA M.B.,B.S.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 05/04/2025
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Provider Practice Location Address
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Address Line | 11705 ALAMEDA ST
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City | LYNWOOD
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State | CA
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Zip | 90262-4023
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Country | US
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Telephone | 323-568-4678
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 W VALLEY VIEW DR
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City | FULLERTON
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State | CA
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Zip | 92833-2229
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Country | US
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Telephone | 310-994-1503
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 36114413
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A107401
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License Number State | CA
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