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General NPI Number Information
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NPI Number | 1669544326
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Entity Type | Individual
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Provider Name | JYOTSANA P. RAYGOR MD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 2240 GLADSTONE DR
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City | PITTSBURG
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State | CA
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Zip | 94565-5126
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Country | US
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Telephone | 925-431-2100
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Fax | 925-431-1234
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Provider Business Mailing Address
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Address Line | PO BOX 22210
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City | OAKLAND
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State | CA
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Zip | 94623-2210
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Country | US
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Telephone | 510-535-4000
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Fax | 510-535-4189
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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 | A41862
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License Number State | CA
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