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General NPI Number Information
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NPI Number | 1467386284
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Entity Type | Individual
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Provider Name | MS. WAKANA NISHIMURA PARDO
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 2617 S FOWLER AVE
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City | FRESNO
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State | CA
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Zip | 93725-9308
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Country | US
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Telephone | 559-524-6430
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 7TH ST
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City | SANGER
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State | CA
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Zip | 93657-2897
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Country | US
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Telephone | 559-524-6521
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Fax | 559-875-0311
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 20021
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License Number State | CA
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