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General NPI Number Information
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NPI Number | 1205462306
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Entity Type | Organization
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Legal Business Name | RAVI HARIPRASAD MD A PC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 870 MARKET ST STE 1107
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-2920
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Country | US
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Telephone | 415-653-3100
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Fax | 415-650-5004
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Provider Business Mailing Address
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Address Line | 2133 TARBOLTON CIR
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City | FOLSOM
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State | CA
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Zip | 95630-6130
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Country | US
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Telephone | 415-754-9632
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAVI HARIPRASAD
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Credential | MD, MPH
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Telephone | 415-754-9632
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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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