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General NPI Number Information
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NPI Number | 1659398360
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Entity Type | Individual
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Provider Name | MANJUL C PATWARDHAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 10353 TORRE AVE STE A
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City | CUPERTINO
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State | CA
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Zip | 95014-3217
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Country | US
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Telephone | 408-725-1777
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Fax | 408-725-0777
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Provider Business Mailing Address
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Address Line | 898 PERSIMMON AVE
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City | SUNNYVALE
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State | CA
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Zip | 94087-1819
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Country | US
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Telephone | 408-219-3130
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Fax | 408-725-0777
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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 | A69182
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License Number State | CA
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