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General NPI Number Information
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NPI Number | 1184656613
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Entity Type | Individual
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Provider Name | KANYALAKSHMI AYYANAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 9300 VALLEY CHILDRENS PL # FC13
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City | MADERA
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State | CA
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Zip | 93636-8761
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Country | US
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Telephone | 559-353-5460
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Fax | 559-353-5095
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Provider Business Mailing Address
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Address Line | 9300 VALLEY CHILDRENS PL # SC05
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City | MADERA
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State | CA
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Zip | 93636-8761
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Country | US
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Telephone | 559-353-5700
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Fax |
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 40972
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | C192814
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 15865
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License Number State | NV
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