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General NPI Number Information
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NPI Number | 1487694931
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Entity Type | Individual
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Provider Name | UDAY JAIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 08/05/2023
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Provider Practice Location Address
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Address Line | 2222 LAFAYETTE ST
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City | SANTA CLARA
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State | CA
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Zip | 95050-2904
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Country | US
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Telephone | 408-988-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 505 CHATEAU DR
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City | HILLSBOROUGH
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State | CA
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Zip | 94010-6501
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Country | US
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Telephone | 650-430-0017
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Fax | 650-348-6866
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G71152
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License Number State | CA
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