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General NPI Number Information
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NPI Number | 1487954798
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Entity Type | Organization
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Legal Business Name | BANSI N. VORA M.D., INC
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 1351 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93534-2935
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Country | US
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Telephone | 661-726-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 1351 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93534-2935
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Country | US
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Telephone | 661-726-6644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BANSI N VORA
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Credential | MD
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Telephone | 661-726-6644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A38008
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License Number State | CA
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