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General NPI Number Information
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NPI Number | 1891632048
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Entity Type | Organization
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Legal Business Name | THYMOS HEALTH, INC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 679 S ELISEO DR
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City | GREENBRAE
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State | CA
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Zip | 94904-2220
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Country | US
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Telephone | 415-379-0745
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Fax | 771-218-1773
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Provider Business Mailing Address
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Address Line | 679 S ELISEO DR
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City | GREENBRAE
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State | CA
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Zip | 94904-2220
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Country | US
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Telephone | 415-379-0745
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Fax | 771-218-1773
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Authorized Official
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Title or Position | CEO
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Name | DR. PAYAL NILESH BHANDARI
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Credential | MD
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Telephone | 508-641-8706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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