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General NPI Number Information
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NPI Number | 1639599863
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Entity Type | Individual
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Provider Name | ANTON MANDROV M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 12500 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93314-9649
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Country | US
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Telephone | 661-564-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 VALLEY CHILDRENS PL # SC05
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City | MADERA
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State | CA
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Zip | 93636-8761
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Country | US
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Telephone | 559-353-5700
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Fax |
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | A201393
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License Number State | CA
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