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General NPI Number Information
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NPI Number | 1265138101
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Entity Type | Organization
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Legal Business Name | ARUDI PRABHAKAR MD APC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 16848 SILVER CREST DR
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City | SAN DIEGO
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State | CA
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Zip | 92127-2814
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Country | US
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Telephone | 949-241-7154
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Fax |
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Provider Business Mailing Address
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Address Line | 16848 SILVER CREST DR
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City | SAN DIEGO
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State | CA
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Zip | 92127-2814
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Country | US
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Telephone | 949-241-7154
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARUDI PRABHAKAR
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Credential | MD
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Telephone | 949-241-7154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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