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General NPI Number Information
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NPI Number | 1992026389
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Entity Type | Individual
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Provider Name | MRS. PARMJIT K SRAI
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Gender | Female
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Dates
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Enumeration Date | 06/20/2010
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Last Update Date | 06/20/2010
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Provider Practice Location Address
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Address Line | 18809 PHILIP MARTIN CT
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City | TRACY
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State | CA
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Zip | 95304-8333
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Country | US
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Telephone | 209-321-3830
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Fax | 209-833-9845
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Provider Business Mailing Address
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Address Line | PO BOX 422
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City | TRACY
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State | CA
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Zip | 95378-0422
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Country | US
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Telephone | 209-321-3830
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Fax | 209-833-9845
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | CA
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