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NPI 1376012971

NPI 1376012971 : VIRDI PROFESSIONALS INC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1376012971
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIRDI PROFESSIONALS INC 
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Dates
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    Enumeration Date     |    11/13/2018
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    Last Update Date     |    11/13/2018
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Provider Practice Location Address
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    Address Line         |    3008 SILLECT AVE STE 210 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93308-6362
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    Country              |    US
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    Telephone            |    661-431-7852
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10412 SOUTHPORT GLN 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-2915
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    Country              |    US
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    Telephone            |    213-793-1201
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MAHEEP  BIRDI 
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    Credential           |    MD
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    Telephone            |    213-793-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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