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General NPI Number Information
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NPI Number | 1073700738
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Entity Type | Individual
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Provider Name | MANISHA SUDINDRANATH
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 2727 MARIPOSA ST STE 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-1472
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Country | US
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Telephone | 415-437-3011
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Fax |
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Provider Business Mailing Address
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Address Line | 1483 SUTTER ST UNIT 1601
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5498
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Country | US
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Telephone | 415-425-7446
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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