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General NPI Number Information
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NPI Number | 1295202901
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Entity Type | Organization
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Legal Business Name | SHRIKANT TAMHANE DO INC
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 23517 MAIN ST STE 103
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City | CARSON
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State | CA
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Zip | 90745-5234
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Country | US
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Telephone | 310-834-5388
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Fax | 310-834-5619
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Provider Business Mailing Address
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Address Line | 23517 MAIN ST STE 103
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City | CARSON
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State | CA
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Zip | 90745-5234
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Country | US
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Telephone | 310-834-5388
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Fax | 310-834-5619
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHRIKANT TAMHANE
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Credential | D.O.
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Telephone | 310-779-0515
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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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