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General NPI Number Information
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NPI Number | 1780239954
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Entity Type | Individual
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Provider Name | RISHABH PRAVIN ACHARYA BDS, MDS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 10/10/2021
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Provider Practice Location Address
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Address Line | 707 PARNASSUS AVENUE, D-4000
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-502-8503
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Fax | 415-514-3180
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Provider Business Mailing Address
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Address Line | 707 PARNASSUS AVENUE, D-3246, BOX 0758
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-514-0476
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 105588
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License Number State | CA
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