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General NPI Number Information
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NPI Number | 1336019744
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Entity Type | Organization
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Legal Business Name | LL MEDICAL CLINIC CA PC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1325 J ST STE 1550
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City | SACRAMENTO
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State | CA
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Zip | 95814-2976
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Country | US
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Telephone | 646-877-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 J ST STE 1550
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City | SACRAMENTO
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State | CA
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Zip | 95814-2976
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS
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Name | ROSHNI SANGHVI
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Credential | PA-C
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Telephone | 646-887-3138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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