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General NPI Number Information
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NPI Number | 1649049552
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Entity Type | Individual
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Provider Name | NEHA ANTIL MD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 4860 Y ST # 3100
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 650-441-6844
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 N ST APT 508
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City | SACRAMENTO
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State | CA
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Zip | 95814-5520
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Country | US
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Telephone | 650-441-6844
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 2085NO700X
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License Number State | CA
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