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General NPI Number Information
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NPI Number | 1710039599
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Entity Type | Organization
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Legal Business Name | PANDURA CORPORATION
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 231 H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2942
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Country | US
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Telephone | 661-336-0771
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Fax | 661-336-0783
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Provider Business Mailing Address
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Address Line | 231 H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2942
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Country | US
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Telephone | 661-336-0771
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Fax | 661-336-0783
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MARIA TERESA PANDURA
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Credential |
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Telephone | 661-336-0771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State | CA
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