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General NPI Number Information
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NPI Number | 1144007931
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Entity Type | Organization
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Legal Business Name | SANJAYA SAXENA, M.D., INC.
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 16880 W BERNARDO DR STE 160
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City | SAN DIEGO
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State | CA
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Zip | 92127-1668
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Country | US
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Telephone | 310-367-0995
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Fax |
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Provider Business Mailing Address
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Address Line | 10275 MESA MADERA DR
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City | SAN DIEGO
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State | CA
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Zip | 92131-1369
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Country | US
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Telephone | 310-367-0995
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Fax |
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Authorized Official
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Title or Position | CEO / DIRECTOR
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Name | DR. SANJAYA SAXENA
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Credential | MD
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Telephone | 310-367-0995
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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 |
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License Number State |
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