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General NPI Number Information
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NPI Number | 1194835033
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Entity Type | Individual
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Provider Name | ANDRES ORDONEZ PA
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 9900 STOCKDALE HWY STE 107
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3633
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Country | US
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Telephone | 661-664-0600
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Fax | 661-664-0621
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Provider Business Mailing Address
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Address Line | 14013 LA CASCADA CT
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City | BAKERSFIELD
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State | CA
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Zip | 93314-8356
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Country | US
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Telephone | 661-587-6585
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA17856
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License Number State | CA
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