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General NPI Number Information
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NPI Number | 1285520957
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Entity Type | Organization
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Legal Business Name | PICTION HEALTH MEDICAL GROUP OF CALIFORNIA, P.C.
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 95 3RD ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3103
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Country | US
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Telephone | 781-650-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 55 COURT ST FL 2
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City | BOSTON
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State | MA
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Zip | 02108-2111
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Country | US
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Telephone | 781-650-4492
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIRAJ PATEL
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Credential | DO
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Telephone | 716-400-7356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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