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General NPI Number Information
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NPI Number | 1871319186
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Entity Type | Individual
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Provider Name | MANASVI CHALAMCHERLA
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Gender | Female
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 380 ENCINAL ST STE 200
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2178
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Country | US
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Telephone | 831-469-1700
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Fax | 831-425-1905
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Provider Business Mailing Address
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Address Line | 1103 N B ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-0326
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Country | US
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Telephone | 831-469-1700
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Fax | 916-378-8266
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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