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General NPI Number Information
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NPI Number | 1811148224
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Entity Type | Individual
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Provider Name | PARU R CHAUDHARI MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 120 LA CASA VIA STE 101
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3092
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Country | US
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Telephone | 925-722-6500
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Fax | 925-386-7680
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Provider Business Mailing Address
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Address Line | 120 LA CASA VIA STE 101
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3092
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Country | US
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Telephone | 925-722-6500
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 267800
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License Number State | NY
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Taxonomy #2
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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 | STUDENT
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A109338
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License Number State | CA
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