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General NPI Number Information
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NPI Number | 1336196864
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Entity Type | Organization
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Legal Business Name | RADHIKA TULPULE MD INC.
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 110 N 4TH AVE
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City | COVINA
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State | CA
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Zip | 91723-1825
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Country | US
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Telephone | 626-859-6400
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Fax | 626-859-6433
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Provider Business Mailing Address
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Address Line | 110 N 4TH AVE
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City | COVINA
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State | CA
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Zip | 91723-1825
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Country | US
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Telephone | 626-859-6400
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Fax | 626-859-6433
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Authorized Official
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Title or Position | CEO
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Name | MRS. RADHIKA TULPULE
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Credential | M.D.
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Telephone | 626-967-4469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A45187
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License Number State | CA
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