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General NPI Number Information
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NPI Number | 1639842107
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Entity Type | Organization
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Legal Business Name | JAMUNA SIVAKANTHAN MEDICAL REHAB INC
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 4500 MORNING DR
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City | BAKERSFIELD
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State | CA
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Zip | 93306-7275
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Country | US
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Telephone | 407-717-7823
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Fax |
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Provider Business Mailing Address
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Address Line | 12101 MARQUISE DR
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City | BAKERSFIELD
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State | CA
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Zip | 93306-9429
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Country | US
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Telephone | 407-717-7823
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMUNA SIVAKANTHAN
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Credential | MD
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Telephone | 407-717-7823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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