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NPI 1588079255

NPI 1588079255 : ADITI GIRI MBBS : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1588079255
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    Entity Type          |    Individual 
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    Provider Name        |    ADITI GIRI MBBS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2014
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    Last Update Date     |    12/31/2024
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Provider Practice Location Address
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    Address Line         |    7780 N FRESNO ST STE 105 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-2413
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    Country              |    US
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    Telephone            |    559-490-2067
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    Fax                  |    559-222-5126
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Provider Business Mailing Address
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    Address Line         |    8609 WESTWOOD CENTER DR STE 110 
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    City                 |    VIENNA
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    State                |    VA
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    Zip                  |    22182-7525
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    Country              |    US
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    Telephone            |    571-409-7082
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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       |    0101265015
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    0101265015
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    A162034
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    License Number State |    CA
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