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General NPI Number Information
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NPI Number | 1689817785
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Entity Type | Individual
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Provider Name | SAWRAV JOSH MUKHERJEE M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 2063 E 4TH ST APT 402
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City | CLEVELAND
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State | OH
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Zip | 44115-1076
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Country | US
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Telephone | 562-355-8061
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Fax | 562-402-9485
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Provider Business Mailing Address
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Address Line | 2063 E 4TH ST APT 402
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City | CLEVELAND
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State | OH
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Zip | 44115-1076
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Country | US
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Telephone | 562-355-8061
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Fax | 562-402-9485
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A120156
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License Number State | CA
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