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General NPI Number Information
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NPI Number | 1154597870
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Entity Type | Organization
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Legal Business Name | PAM K JANDA M D INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 7078 N MAPLE AVE
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City | FRESNO
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State | CA
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Zip | 93720-8023
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Country | US
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Telephone | 559-449-8200
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Fax | 559-449-1227
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Provider Business Mailing Address
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Address Line | 7078 N MAPLE AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-8023
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Country | US
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Telephone | 559-449-8200
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Fax | 559-449-1227
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAM K JANDA
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Credential | MD
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Telephone | 559-449-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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