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General NPI Number Information
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NPI Number | 1043120025
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Entity Type | Individual
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Provider Name | AVISHEK AVINEEL CHAND RN, BSN
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Gender | Male
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 455 SILICON VALLEY BLVD
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City | SAN JOSE
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State | CA
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Zip | 95138-1858
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Country | US
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Telephone | 408-819-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 27699 BALDWIN ST
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City | HAYWARD
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State | CA
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Zip | 94544-5261
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Country | US
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Telephone | 510-362-8125
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95357439
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License Number State | CA
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