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General NPI Number Information
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NPI Number | 1730493107
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Entity Type | Organization
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Legal Business Name | PIYUSH K, JOGANI, MD
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 18250 ROSCOE BLVD SUITE #310
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4226
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Country | US
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Telephone | 818-885-9200
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Fax | 818-885-9201
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Provider Business Mailing Address
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Address Line | PO BOX 280204
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City | NORTHRIDGE
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State | CA
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Zip | 91328-0204
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Country | US
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Telephone | 818-885-9200
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Fax | 818-885-9201
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Authorized Official
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Title or Position | MD.
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Name | PIYUSH JOGANI
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Credential | M.D,
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Telephone | 818-885-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A39138
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License Number State | CA
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