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General NPI Number Information
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NPI Number | 1790612091
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Entity Type | Organization
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Legal Business Name | TEIKO
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 675 S ARAPEEN DR STE 301
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City | SALT LAKE CITY
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State | UT
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Zip | 84108-1205
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Country | US
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Telephone | 385-355-9108
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Fax |
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Provider Business Mailing Address
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Address Line | 675 S ARAPEEN DR STE 301
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City | SALT LAKE CITY
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State | UT
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Zip | 84108-1205
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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 | CEO
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Name | RAMJI SRINIVASAN
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Credential |
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Telephone | 650-714-1635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number |
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License Number State |
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