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General NPI Number Information
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NPI Number | 1134034523
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Entity Type | Individual
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Provider Name | KAIVALYA KELKAR
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Gender |
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 890 E WILLIAM ST
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City | SAN JOSE
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State | CA
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Zip | 95116-3102
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Country | US
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Telephone | 408-535-6245
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Fax |
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Provider Business Mailing Address
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Address Line | 6022 JACQUES DR
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City | SAN JOSE
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State | CA
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Zip | 95123-4018
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 14165
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License Number State | CA
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