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General NPI Number Information
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NPI Number | 1730317710
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Entity Type | Individual
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Provider Name | PAULOMI KADAKIA BHALLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 5565 W LAS POSITAS BLVD STE 130
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City | PLEASANTON
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State | CA
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Zip | 94588-4001
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Country | US
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Telephone | 925-315-9456
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Fax |
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Provider Business Mailing Address
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Address Line | 5565 W LAS POSITAS BLVD STE 130
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City | PLEASANTON
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State | CA
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Zip | 94588-4001
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Country | US
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Telephone | 925-315-9456
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT195771
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 265076-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A155340
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License Number State | CA
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