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General NPI Number Information
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NPI Number | 1447980453
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Entity Type | Organization
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Legal Business Name | SAFEBEAT RX INC.
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 813 D ST STE 3
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2813
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Country | US
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Telephone | 415-877-7107
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Fax |
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Provider Business Mailing Address
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Address Line | 900 FORTRESS ST STE 190, DPT#17118
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City | CHICO
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State | CA
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Zip | 95973-9547
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Country | US
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Telephone | 415-952-3354
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RACHITA NAVARA
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Credential | MD
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Telephone | 415-877-7138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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