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General NPI Number Information
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NPI Number | 1639490477
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Entity Type | Individual
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Provider Name | NIKITA V MISHRA M.D. PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 77 CADILLAC DR
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City | SACRAMENTO
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State | CA
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Zip | 95825-5453
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Country | US
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Telephone | 512-983-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 6091 EDGEHILL DR
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-5475
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Country | US
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Telephone | 512-983-8809
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 185906
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101256550
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 185906
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License Number State | CA
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