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General NPI Number Information
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NPI Number | 1174880215
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Entity Type | Individual
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Provider Name | PAMELA FAYE CHEADLE RN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 2151 COLLEGE AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93305
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Country | US
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Telephone | 666-186-8803
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Fax | 661-868-8018
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Provider Business Mailing Address
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Address Line | PO BOX 1000
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1000
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Country | US
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Telephone | 661-868-6600
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Fax | 661-868-6666
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 523786
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License Number State | CA
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