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General NPI Number Information
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NPI Number | 1437599495
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Entity Type | Individual
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Provider Name | ANAND DIVYANG TRIVEDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2013
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 11832 ROSECRANS AVE STE 200
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City | NORWALK
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State | CA
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Zip | 90650-4107
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Country | US
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Telephone | 562-864-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 11832 ROSECRANS AVE STE 200
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City | NORWALK
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State | CA
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Zip | 90650-4107
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Country | US
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Telephone | 562-864-4500
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A138513
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036139837
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License Number State | IL
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