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General NPI Number Information
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NPI Number | 1477476125
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Entity Type | Individual
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Provider Name | MARJORIE PRADHAN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 2504 41ST ST NW APT 4
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City | WASHINGTON
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State | DC
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Zip | 20007-1260
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Country | US
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Telephone | 720-419-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 41550 ECLECTIC ST
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City | PALM DESERT
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State | CA
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Zip | 92260-1967
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Country | US
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Telephone | 760-299-5181
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Fax | 877-214-4220
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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