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General NPI Number Information
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NPI Number | 1437621471
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Entity Type | Individual
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Provider Name | RACHEL ROYA MISTRY RD
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Gender | Female
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Dates
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Enumeration Date | 12/31/2018
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 20398 BLAUER DR
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City | SARATOGA
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State | CA
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Zip | 95070-4307
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Country | US
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Telephone | 408-733-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 16365 ROSELEAF CT
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City | LOS GATOS
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State | CA
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Zip | 95032-3609
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Country | US
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Telephone | 408-859-2111
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86148256
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License Number State | CA
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