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General NPI Number Information
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NPI Number | 1801254537
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Entity Type | Individual
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Provider Name | ABHINAV NALLURI
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Gender | Male
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3600 BROADWAY
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City | OAKLAND
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State | CA
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Zip | 94611-5730
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Country | US
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Telephone | 510-752-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 8210 TORREY GARDENS PL
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City | SAN DIEGO
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State | CA
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Zip | 92129-4605
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Country | US
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Telephone | 858-775-3857
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 174312
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License Number State | CA
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