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General NPI Number Information
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NPI Number | 1760915771
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Entity Type | Individual
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Provider Name | HEMNISHIL KUMAR MARELLA DO
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Gender | Male
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1133 E STANLEY BLVD STE 207
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City | LIVERMORE
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State | CA
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Zip | 94550-4246
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Country | US
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Telephone | 925-454-6390
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 E STANLEY BLVD STE 207
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City | LIVERMORE
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State | CA
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Zip | 94550-4246
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Country | US
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Telephone | 925-454-6390
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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 | 20A22252
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0000004580
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 20A22252
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License Number State | CA
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