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General NPI Number Information
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NPI Number | 1255535134
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Entity Type | Individual
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Provider Name | MANISHA ISRANI-JIANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 533 PARNASSUS AVENUE STE U138, BOX 0131
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-443-0017
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Fax |
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Provider Business Mailing Address
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Address Line | 256 RATTO RD
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City | ALAMEDA
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State | CA
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Zip | 94502-7959
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Country | US
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Telephone | 415-298-9346
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A97157
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A97157
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License Number State | CA
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