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General NPI Number Information
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NPI Number | 1326200833
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Entity Type | Individual
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Provider Name | ANDREAS GEORGE AHLAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1430 TRUXTUN AVE STE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5220
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Country | US
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Telephone | 559-457-5200
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Fax | 833-678-2781
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Provider Business Mailing Address
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Address Line | 2740 S ELM AVE
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City | FRESNO
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State | CA
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Zip | 93706-5435
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Country | US
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Telephone | 559-457-5200
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Fax | 559-457-5296
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A124942
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License Number State | CA
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