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General NPI Number Information
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NPI Number | 1710091855
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Entity Type | Individual
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Provider Name | CHARUBEN C PANDYA MD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 801 E WHITESTONE BLVD BLSG C
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City | CEDAR PARK
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State | TX
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Zip | 78613-5028
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Country | US
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Telephone | 512-259-3467
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Fax | 512-406-7303
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Provider Business Mailing Address
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Address Line | 6210 US 290 SUITE 240
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City | AUSTIN
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State | TX
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Zip | 78723
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Country | US
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Telephone | 512-231-5506
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Fax | 512-406-6216
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K8404
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License Number State | TX
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