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General NPI Number Information
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NPI Number | 1376204669
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Entity Type | Individual
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Provider Name | JIVITESH GAURAV
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Gender | Male
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1313 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3306
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Country | US
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Telephone | 559-450-4637
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Fax |
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Provider Business Mailing Address
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Address Line | 4006 W FOUNTAIN WAY
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City | FRESNO
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State | CA
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Zip | 93722-4689
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Country | US
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Telephone | 201-936-9345
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A197556
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A197556
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License Number State | CA
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