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General NPI Number Information
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NPI Number | 1346506276
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Entity Type | Individual
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Provider Name | SOWMYA SRINIVASAN IYER MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 3801 MIRANDA AVE # 182B
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City | PALO ALTO
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State | CA
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Zip | 94304-1290
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Country | US
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Telephone | 650-849-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 MIRANDA AVE # 182B
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City | PALO ALTO
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State | CA
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Zip | 94304-1207
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Country | US
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Telephone | 650-849-1984
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A120080
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License Number State | CA
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