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NPI 1225307580

NPI 1225307580 : ABHI JAIN DO : STANFORD, CA

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General NPI Number Information
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    NPI Number           |    1225307580
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    Entity Type          |    Individual 
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    Provider Name        |    ABHI JAIN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/15/2011
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    300 PASTEUR DR 
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    City                 |    STANFORD
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    State                |    CA
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    Zip                  |    94305-2200
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    Country              |    US
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    Telephone            |    650-723-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    300 PASTEUR DR 
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    City                 |    STANFORD
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    State                |    CA
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    Zip                  |    94305-2200
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    Country              |    US
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    Telephone            |    650-723-4000
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5501015576
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    OT019769
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    20A22530
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    20A22530
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    2085D0003X
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    Taxonomy Name        |    Diagnostic Neuroimaging (Radiology) Physician
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    License Number       |    20A22530
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    License Number State |    CA
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