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General NPI Number Information
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NPI Number | 1477799195
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Entity Type | Individual
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Provider Name | MONA TRIVEDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 301 BRYANT ST APT 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-4170
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Country | US
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Telephone | 313-510-4208
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Fax |
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Provider Business Mailing Address
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Address Line | 301 BRYANT ST APT 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-4170
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Country | US
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Telephone | 313-510-4208
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301088553
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4301088553
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 133918
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License Number State | CA
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