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General NPI Number Information
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NPI Number | 1194856914
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Entity Type | Organization
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Legal Business Name | MEHERJI OSHTORY MD & ABHA OSHTORY MD A PROFESSIONAL CORP
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2626 N CALIFORNIA ST SUITE I
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City | STOCKTON
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State | CA
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Zip | 95204-5500
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Country | US
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Telephone | 209-944-5730
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Fax | 209-944-0129
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Provider Business Mailing Address
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Address Line | 2626 N CALIFORNIA ST SUITE I
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City | STOCKTON
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State | CA
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Zip | 95204-5500
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Country | US
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Telephone | 209-944-5730
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Fax | 209-944-0129
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEHERJI A OSHTORY
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Credential | M.D.
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Telephone | 209-944-5730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A25791
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License Number State | CA
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