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General NPI Number Information
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NPI Number | 1386291300
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Entity Type | Individual
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Provider Name | UMESH PANDEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 461 W HURON ST
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City | PONTIAC
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State | MI
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Zip | 48341-1601
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Country | US
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Telephone | 248-294-8930
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Fax |
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Provider Business Mailing Address
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Address Line | 4036 EVENTIDE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95835-1964
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Country | US
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Telephone | 248-294-8930
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4351045770
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A176602
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License Number State | CA
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