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General NPI Number Information
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NPI Number | 1942889522
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Entity Type | Individual
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Provider Name | PAL SATYAJIT SINGH ATHWAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1303 E HERNDON AVE STE 850
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City | FRESNO
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State | CA
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Zip | 93720-3309
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Country | US
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Telephone | 559-450-5672
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 E HERNDON AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-3346
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Country | US
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Telephone | 559-450-4637
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A188863
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License Number State | CA
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