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General NPI Number Information
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NPI Number | 1225051667
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Entity Type | Organization
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Legal Business Name | SANDHYA INC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 7025 CORLINE CT
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4520
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Country | US
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Telephone | 707-823-7444
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Fax | 707-823-1309
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Provider Business Mailing Address
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Address Line | 7025 CORLINE CT
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4520
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Country | US
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Telephone | 707-823-7444
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Fax | 707-823-1309
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | PREMA THEKKEK
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Credential |
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Telephone | 707-823-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 47370820
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License Number State | CA
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