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General NPI Number Information
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NPI Number | 1609198779
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Entity Type | Individual
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Provider Name | AMBOOJ TIWARI MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 15031 RINALDI ST
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City | MISSION HILLS
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State | CA
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Zip | 91345-1207
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Country | US
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Telephone | 818-365-8051
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Fax | 818-897-4701
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Provider Business Mailing Address
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Address Line | 1511 3RD AVE STE 1000
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City | SEATTLE
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State | WA
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Zip | 98101-3637
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Country | US
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Telephone | 408-508-6218
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Fax | 408-351-0435
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 25MA09637400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 276012-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 25MA09637400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 276012-1
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License Number State | NY
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