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General NPI Number Information
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NPI Number | 1588000491
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Entity Type | Individual
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Provider Name | RONAK RAMESH JHAVERI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 140 ARBOR DRIVE #0851
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City | SAN DIEGO
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State | CA
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Zip | 92103-2007
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Country | US
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Telephone | 619-543-6295
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Fax |
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Provider Business Mailing Address
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Address Line | 4261 CRYSTAL CIR
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City | CYPRESS
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State | CA
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Zip | 90630-2015
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Country | US
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Telephone | 714-296-0234
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A149793
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License Number State | CA
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