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General NPI Number Information
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NPI Number | 1760181598
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Entity Type | Organization
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Legal Business Name | NARENDRA G GURBANI M D INC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 31862 COAST HWY STE 400
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6788
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Country | US
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Telephone | 949-499-8226
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Fax |
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Provider Business Mailing Address
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Address Line | 31862 COAST HWY STE 400
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6788
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Country | US
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Telephone | 949-499-8226
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Fax |
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Authorized Official
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Title or Position | BILLING & CREDENTIALING SPECIALIST
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Name | MR. ROCKY VALENTINE
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Credential |
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Telephone | 855-419-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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