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General NPI Number Information
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NPI Number | 1609579069
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Entity Type | Organization
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Legal Business Name | SIRISH NAKKA MD INC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 1665 DOMINICAN WAY STE 222
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1515
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Country | US
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Telephone | 844-387-5337
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Fax |
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Provider Business Mailing Address
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Address Line | 1665 DOMINICAN WAY STE 222
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1515
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Country | US
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Telephone | 844-387-5337
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SIRISH NAKKA
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Credential | MD
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Telephone | 844-387-5337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State |
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