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General NPI Number Information
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NPI Number | 1780662833
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Entity Type | Individual
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Provider Name | ACHAL DHUPA MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2006
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 9898 GENESEE AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-1205
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Country | US
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Telephone | 858-824-5404
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Fax | 858-964-3128
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-824-5404
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Fax | 858-964-3128
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A96411
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A96411
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License Number State | CA
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