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General NPI Number Information
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NPI Number | 1104702034
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Entity Type | Individual
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Provider Name | PRITHVI NOOJIBAIL
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Gender | Male
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 91 W MAIN ST
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City | WOODLAND
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State | CA
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Zip | 95695-3098
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Country | US
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Telephone | 408-624-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 9525 WATERMAN AVE
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City | LIVE OAK
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State | CA
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Zip | 95953-9662
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Country | US
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Telephone | 408-624-0377
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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