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General NPI Number Information
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NPI Number | 1548139736
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Entity Type | Organization
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Legal Business Name | CLOUD9 TELECOM LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 661-279-1691
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Fax | 877-718-0810
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Provider Business Mailing Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 661-279-1691
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Fax | 877-718-0810
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Authorized Official
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Title or Position | SOLE MBR
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Name | MS. DHWANI SRIVASTAVA
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Credential |
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Telephone | 661-279-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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