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General NPI Number Information
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NPI Number | 1750630125
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Entity Type | Individual
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Provider Name | SRIMANASI JAVVAJI MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2500 S 8TH AVE
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City | YUMA
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State | AZ
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Zip | 85364-7118
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Country | US
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Telephone | 928-788-0785
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Fax |
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Provider Business Mailing Address
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Address Line | 2604B EL CAMINO REAL STE 364
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City | CARLSBAD
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State | CA
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Zip | 92008-1214
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 3116-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | A141780
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 94587
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 2023009444
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 68538
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | R3351
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 74511
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License Number State | MN
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Taxonomy #8
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 35.147986
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.061605
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | R3351
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License Number State | TX
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