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General NPI Number Information
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NPI Number | 1952082729
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Entity Type | Organization
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Legal Business Name | VYAS MEDICAL CORP
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 8715 CENTER PKWY
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City | SACRAMENTO
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State | CA
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Zip | 95823-7921
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Country | US
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Telephone | 916-500-0516
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Fax |
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Provider Business Mailing Address
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Address Line | 9717 RUDDY DUCK WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-8155
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Country | US
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Telephone | 916-500-0516
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Fax | 916-290-4535
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Authorized Official
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Title or Position | CEO
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Name | DINESH VYAS
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Credential | MD
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Telephone | 314-680-1347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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