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General NPI Number Information
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NPI Number | 1881558856
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Entity Type | Organization
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Legal Business Name | BAY AREA RETINA ASSOCIATES
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1200 CENTRAL BLVD STE C
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City | BRENTWOOD
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State | CA
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Zip | 94513-2227
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Country | US
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Telephone | 800-573-8462
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Fax | 925-943-6880
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Provider Business Mailing Address
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Address Line | PO BOX 748930
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City | LOS ANGELES
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State | CA
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Zip | 90074-8930
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Country | US
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Telephone | 925-265-8324
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Fax | 916-938-3697
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Authorized Official
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Title or Position | PARTNER
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Name | DR. TUSHAR RANCHOD
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Credential | MD
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Telephone | 925-943-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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