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General NPI Number Information
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NPI Number | 1245260298
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Entity Type | Organization
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Legal Business Name | ROMESH K JAPRA MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1860 MOWRY AVE STE 200
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City | FREMONT
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State | CA
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Zip | 94538-1730
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Country | US
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Telephone | 510-790-2202
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Fax | 510-790-2806
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Provider Business Mailing Address
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Address Line | 1860 MOWRY AVE STE 200
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City | FREMONT
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State | CA
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Zip | 94538-1730
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Country | US
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Telephone | 510-790-2202
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Fax | 510-790-2806
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ROMESH K JAPRA
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Credential | M.D.
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Telephone | 510-790-2202
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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 | A32218
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License Number State | CA
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