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General NPI Number Information
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NPI Number | 1477378776
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Entity Type | Organization
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Legal Business Name | BADRI NARAYAN PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2440 23RD ST STE C
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City | EUREKA
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State | CA
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Zip | 95501-3203
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Country | US
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Telephone | 312-451-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 H ST APT 2
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City | DAVIS
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State | CA
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Zip | 95616-1118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHWIN NARASIMHAN
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Credential |
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Telephone | 312-451-6579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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