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NPI 1114729563

NPI 1114729563 : INFINITE MEDICAL CA PC : SAN ANDREAS, CA

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General NPI Number Information
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    NPI Number           |    1114729563
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFINITE MEDICAL CA PC 
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Dates
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    Enumeration Date     |    03/26/2025
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    900 MOUNTAIN RANCH RD 
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    City                 |    SAN ANDREAS
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    State                |    CA
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    Zip                  |    95249-9713
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    Country              |    US
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    Telephone            |    212-734-6621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    250 SKILLMAN ST STE 202 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11205-1218
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    Country              |    US
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    Telephone            |    212-734-6621
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     REKHA  BHANDARI 
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    Credential           |    
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    Telephone            |    212-734-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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