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General NPI Number Information
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NPI Number | 1811197734
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Entity Type | Individual
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Provider Name | SUMESH JAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1114 OLIVEWOOD DR
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City | MERCED
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State | CA
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Zip | 95348-1210
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Country | US
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Telephone | 304-777-0973
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Fax |
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Provider Business Mailing Address
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Address Line | 1114 OLIVEWOOD DR
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City | MERCED
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State | CA
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Zip | 95348-1210
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Country | US
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Telephone | 304-777-0973
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD 206898
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | C161907
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C161907
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License Number State | CA
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