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General NPI Number Information
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NPI Number | 1083721849
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Entity Type | Individual
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Provider Name | HARISH KAVIRAJAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 6 VENTURE STE 277
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City | IRVINE
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State | CA
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Zip | 92618-7304
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Country | US
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Telephone | 949-422-6814
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Fax | 949-223-4792
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Provider Business Mailing Address
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Address Line | 6 VENTURE STE 277
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City | IRVINE
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State | CA
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Zip | 92618-3340
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Country | US
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Telephone | 949-422-6814
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Fax | 949-223-4792
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A55485
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | A55485
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License Number State | CA
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