Basic Information
Provider Information
NPI: 1649886656
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARASNIS
FirstName: SHARVARI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: 151 N SUNRISE AVE STE 1105
Address2:  
City: ROSEVILLE
State: CA
PostalCode: 956612931
CountryCode: US
TelephoneNumber: 9167718255
FaxNumber: 9167718211
Practice Location
Address1: 151 N SUNRISE AVE STE 1105
Address2:  
City: ROSEVILLE
State: CA
PostalCode: 956612931
CountryCode: US
TelephoneNumber: 9167718255
FaxNumber: 9167718211
Other Information
ProviderEnumerationDate: 09/16/2020
LastUpdateDate: 09/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X14411CAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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