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General NPI Number Information
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NPI Number | 1609870047
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Entity Type | Individual
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Provider Name | APAMA K CHILDERS P.A.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 900 N HERITAGE DR STE E
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City | RIDGECREST
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State | CA
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Zip | 93555-5537
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Country | US
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Telephone | 760-446-8281
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Fax | 760-446-0970
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Provider Business Mailing Address
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Address Line | 900 N HERITAGE DR STE E
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City | RIDGECREST
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State | CA
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Zip | 93555-5537
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Country | US
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Telephone | 760-446-4571
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Fax | 760-446-0970
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA10602
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License Number State | CA
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