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General NPI Number Information
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NPI Number | 1992614234
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Entity Type | Individual
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Provider Name | ISHJOT KAUR LVN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 4001 LONE TREE WAY
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City | ANTIOCH
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State | CA
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Zip | 94509-6232
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Country | US
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Telephone | 925-754-0470
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Fax |
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Provider Business Mailing Address
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Address Line | 3364 FEATHER RD
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City | MANTECA
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State | CA
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Zip | 95337-7044
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Country | US
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Telephone | 209-834-4071
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 739662
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License Number State | CA
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