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General NPI Number Information
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NPI Number | 1003556234
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Entity Type | Individual
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Provider Name | NIVEDITA KESHAV MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 591 REDWOOD HWY RD STE 5215
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City | MILL VALLEY
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State | CA
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Zip | 94941-3016
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Country | US
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Telephone | 415-381-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 757 WESTWOOD PLAZA BOX 951752, 3108 RRUMC
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City | LOS ANGELES
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State | CA
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Zip | 90095-1752
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Country | US
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Telephone | 310-267-9132
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A189166
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License Number State | CA
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