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General NPI Number Information
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NPI Number | 1639016330
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Entity Type | Organization
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Legal Business Name | DHRUV PHYSICIAN ASSISTANT, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 7179 STARDUST CT
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City | EASTVALE
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State | CA
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Zip | 92880-3269
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Country | US
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Telephone | 951-329-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 7179 STARDUST CT
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City | EASTVALE
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State | CA
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Zip | 92880-3269
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Country | US
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Telephone | 951-329-2195
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHUBH DHRUV
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Credential | PA
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Telephone | 951-329-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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