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General NPI Number Information
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NPI Number | 1184855546
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Entity Type | Individual
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Provider Name | ANJALI LARA SARDESHMUKH L.M.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 2939 SUMMIT ST STE 303
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City | OAKLAND
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State | CA
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Zip | 94609-3404
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Country | US
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Telephone | 510-740-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 2939 SUMMIT ST STE 303
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City | OAKLAND
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State | CA
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Zip | 94609-3404
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Country | US
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Telephone | 510-740-8490
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-315717
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License Number State |
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW 228
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 513
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License Number State | CA
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