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General NPI Number Information
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NPI Number | 1619201167
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Entity Type | Individual
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Provider Name | MANISH SAHA M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 500 SUPERIOR AVE STE 160
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3677
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Country | US
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Telephone | 949-791-3006
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Fax | 949-791-3060
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Provider Business Mailing Address
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Address Line | 500 SUPERIOR AVE STE 160
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3677
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Country | US
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Telephone | 949-791-3006
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Fax | 949-791-3060
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 259762
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0062946
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C167670
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License Number State | CA
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