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General NPI Number Information
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NPI Number | 1871114587
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Entity Type | Individual
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Provider Name | DAVID DOSANJH
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 3100 DUBLIN BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-4363
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Country | US
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Telephone | 925-321-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 225 FENNEL WAY
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City | LIVERMORE
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State | CA
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Zip | 94551-6485
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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 |
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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 | 2471R0002X
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Taxonomy Name | Radiation Therapy Radiologic Technologist
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License Number | RHT00103278
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License Number State | CA
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