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General NPI Number Information
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NPI Number | 1225847650
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Entity Type | Individual
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Provider Name | ACHINTYA BHOWMIK HIS
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Gender | Male
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 24310 MOULTON PKWY STE D
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-3306
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Country | US
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Telephone | 949-830-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 14377 OLD WOOD RD
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City | SARATOGA
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State | CA
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Zip | 95070-5631
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Country | US
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Telephone | 952-947-4916
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Fax | 952-995-8884
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 5660
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 5660
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License Number State | CA
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