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General NPI Number Information
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NPI Number | 1073188207
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Entity Type | Individual
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Provider Name | AUSTIN ART SINGHAVONG PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 2400 BAHAMAS DR STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0747
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Country | US
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Telephone | 661-328-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 432 LEXINGTON ST STE C
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City | DELANO
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State | CA
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Zip | 93215-3696
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Country | US
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Telephone | 661-544-3352
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Fax | 661-544-3432
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA59719
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA59719
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License Number State | CA
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