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General NPI Number Information
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NPI Number | 1881014686
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Entity Type | Individual
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Provider Name | SHRUTI S VORA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 30212 TOMAS STE 220
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2174
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Country | US
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Telephone | 949-858-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 25909 PALA STE 170
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2778
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Country | US
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Telephone | 949-770-6789
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A139847
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License Number State | CA
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