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General NPI Number Information
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NPI Number | 1386794709
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Entity Type | Organization
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Legal Business Name | DARSHAN R SHAH, MD, INC, DBA BAKERSFIELD WELLNESS SURGERY CENTER
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4850 COMMERCE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0415
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Country | US
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Telephone | 661-324-6720
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Fax | 661-324-6140
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Provider Business Mailing Address
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Address Line | 4850 COMMERCE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0415
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Country | US
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Telephone | 661-324-6720
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Fax | 661-324-6140
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Authorized Official
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Title or Position | FACILITY ADMINISTRATOR
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Name | MS. FAYE FINLAY BERGERON
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Credential | RN
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Telephone | 661-324-6720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0000711970
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License Number State | CA
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