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General NPI Number Information
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NPI Number | 1457734071
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Entity Type | Organization
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Legal Business Name | PANDA LEARNING SERVICES, INC.
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 1555 N VERDUGO RD STE. 201
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City | GLENDALE
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State | CA
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Zip | 91208-2839
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Country | US
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Telephone | 213-278-0500
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Fax | 213-402-8600
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Provider Business Mailing Address
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Address Line | 1555 N VERDUGO RD STE. 201
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City | GLENDALE
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State | CA
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Zip | 91208-2839
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Country | US
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Telephone | 213-278-0500
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Fax | 213-402-8600
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID A PYLES
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Credential | PHD
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Telephone | 213-278-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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