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General NPI Number Information
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NPI Number | 1619946563
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Entity Type | Individual
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Provider Name | JOE A PASTRANO MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 747 52ND ST
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City | OAKLAND
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State | CA
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Zip | 94609-1809
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Country | US
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Telephone | 510-428-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1747
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City | MEDFORD
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State | OR
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Zip | 97501-0136
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Country | US
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Telephone | 541-773-2493
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Fax | 541-779-3027
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 11297
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD150962
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C192781
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD60074646
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License Number State | WA
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