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General NPI Number Information
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NPI Number | 1053772244
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Entity Type | Organization
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Legal Business Name | HILLEL K JANAI PEDIATRICS INC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 1505 SHEPARD DR 103
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City | SANTA MARIA
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State | CA
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Zip | 93454-7020
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Country | US
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Telephone | 805-588-8829
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3857
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93403-3857
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HILLEL K JANAI
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Credential | MD
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Telephone | 805-588-8829
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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 | A48584
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License Number State | CA
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