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General NPI Number Information
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NPI Number | 1205817111
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Entity Type | Individual
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Provider Name | MANDEEP AYER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 05/02/2021
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Provider Practice Location Address
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Address Line | 14981 NATIONAL AVE STE 6
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City | LOS GATOS
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State | CA
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Zip | 95032-2600
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Country | US
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Telephone | 408-358-1811
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Fax | 408-358-7961
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Provider Business Mailing Address
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Address Line | 15466 LOS GATOS BLVD STE 109 PMB 057
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City | LOS GATOS
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State | CA
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Zip | 95032-2542
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Country | US
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Telephone | 408-358-1811
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Fax | 408-358-7961
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A42228
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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 | A42228
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License Number State | CA
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