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General NPI Number Information
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NPI Number | 1497868251
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Entity Type | Individual
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Provider Name | SHRIKANT TAMHANE D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 05/15/2017
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Provider Practice Location Address
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Address Line | 23517 MAIN ST STE 103
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City | CARSON
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State | CA
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Zip | 90745-5234
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Country | US
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Telephone | 310-834-5388
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Fax |
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Provider Business Mailing Address
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Address Line | 125 N. GALE DRIVE UNIT 404
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 310-779-0515
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Fax | 310-834-5619
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A7213
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License Number State | CA
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