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General NPI Number Information
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NPI Number | 1215498282
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Entity Type | Organization
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Legal Business Name | MINAL D TAPADIA MD INC
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Dates
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Enumeration Date | 03/30/2019
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 11170 WARNER AVE STE 106
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4014
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Country | US
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Telephone | 714-540-3244
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Fax | 714-540-5842
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Provider Business Mailing Address
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Address Line | 4 TRAFALGAR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-6830
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Country | US
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Telephone | 907-204-1710
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MINAL TAPADIA
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Credential | MD
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Telephone | 907-204-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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