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General NPI Number Information
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NPI Number | 1922447937
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Entity Type | Individual
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Provider Name | RITI SHARMA DAYAL MD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 18 ENDEAVOR STE 203
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City | IRVINE
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State | CA
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Zip | 92618-3181
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Country | US
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Telephone | 949-910-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 18 ENDEAVOR STE 203
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City | IRVINE
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State | CA
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Zip | 92618-3181
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Country | US
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Telephone | 949-910-1188
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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 | MD449350
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101243100
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A138766
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License Number State | CA
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