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General NPI Number Information
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NPI Number | 1073608121
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Entity Type | Organization
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Legal Business Name | J CHANDRASEKHAR INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 6001 TRUXTUN AVE STE 120A
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0679
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Country | US
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Telephone | 661-327-1352
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Fax | 661-704-4238
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Provider Business Mailing Address
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Address Line | PO BOX 20324
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City | BAKERSFIELD
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State | CA
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Zip | 93390-0324
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Country | US
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Telephone | 661-327-1352
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Fax | 661-704-4238
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Authorized Official
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Title or Position | OWNER
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Name | JAYARAMAN CHANDRASEKHAR
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Credential | MD
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Telephone | 661-327-1352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A89686
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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 | A89686
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A89686
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A89686
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License Number State | CA
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