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General NPI Number Information
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NPI Number | 1114594777
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Entity Type | Individual
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Provider Name | KUNAL DOSHI MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 303 E VANDERBILT WAY
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City | SAN BERNARDINO
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State | CA
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Zip | 92415-3156
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Country | US
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Telephone | 888-743-1478
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 LACASSIE AVE APT 414
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City | WALNUT CREEK
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State | CA
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Zip | 94596-1040
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | A194845
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License Number State | CA
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