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General NPI Number Information
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NPI Number | 1992763205
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Entity Type | Individual
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Provider Name | ABHIJIT A ADHYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1100 TRANCAS ST STE 211
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City | NAPA
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State | CA
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Zip | 94558-2909
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Country | US
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Telephone | 707-637-4108
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Fax | 707-637-4186
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Provider Business Mailing Address
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Address Line | 1100 TRANCAS ST STE 211
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City | NAPA
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State | CA
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Zip | 94558-2909
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Country | US
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Telephone | 707-637-4108
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Fax | 707-637-4186
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | A94870
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A94870
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License Number State | CA
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