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NPI 1275042319

NPI 1275042319 : LEENA SUTHAR PANDYA ND : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1275042319
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    Entity Type          |    Individual 
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    Provider Name        |    LEENA SUTHAR PANDYA ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2017
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    Last Update Date     |    09/25/2019
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Provider Practice Location Address
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    Address Line         |    747 FRONT STREET C/O EMPOWER
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94111
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    Country              |    US
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    Telephone            |    415-972-9687
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1463 11TH AVE APT B 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94122-3684
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    Country              |    US
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    Telephone            |    717-437-3827
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    ND943
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    License Number State |    CA
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