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General NPI Number Information
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NPI Number | 1164839775
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Entity Type | Individual
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Provider Name | PRANIT SHRESTHA M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 1145 W REDONDO BEACH BLVD
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City | GARDENA
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State | CA
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Zip | 90247-3511
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Country | US
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Telephone | 310-532-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 21731 NORMANDIE AVE
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City | TORRANCE
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State | CA
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Zip | 90501-3907
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Country | US
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Telephone | 703-505-8145
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Fax | 424-999-0375
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A172371
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0012035
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License Number State | DE
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