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General NPI Number Information
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NPI Number | 1477797603
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Entity Type | Individual
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Provider Name | GARANI SHIRANTHANA NADARAJA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 5820 STONERIDGE MALL RD SUITE 210
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City | PLEASANTON
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State | CA
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Zip | 94588-3274
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Country | US
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Telephone | 925-463-0336
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Fax | 925-463-1387
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Provider Business Mailing Address
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Address Line | PO BOX 14370
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-0370
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Country | US
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Telephone | 925-463-0336
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Fax | 925-463-1387
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A105932
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License Number State | CA
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