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General NPI Number Information
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NPI Number | 1437738960
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Entity Type | Organization
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Legal Business Name | AYUTHERAPY LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 111 TOWN AND COUNTRY DR STE C
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City | DANVILLE
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State | CA
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Zip | 94526-3941
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Country | US
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Telephone | 925-575-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 911 SADDLEHORN CT
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City | DANVILLE
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State | CA
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Zip | 94506-4724
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Country | US
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Telephone | 925-726-4446
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Fax |
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Authorized Official
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Title or Position | AYURVEDIC DOCTOR
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Name | ARCHANA RAO
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Credential | B.A.M.S
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Telephone | 925-575-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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