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General NPI Number Information
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NPI Number | 1639511843
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Entity Type | Individual
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Provider Name | RICHA VERMA THAKUR MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1114 6TH ST
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City | MODESTO
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State | CA
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Zip | 95354-2203
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Country | US
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Telephone | 209-722-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 CUSTOMER CARE WAY
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City | ATWATER
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State | CA
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Zip | 95301-5167
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Country | US
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Telephone | 209-384-6493
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A142979
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License Number State | CA
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