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General NPI Number Information
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NPI Number | 1720553902
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Entity Type | Organization
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Legal Business Name | PEDIATRICS FOR ALL INC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 2700 F ST STE 210
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1850
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Country | US
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Telephone | 661-631-2229
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Fax | 661-742-1644
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Provider Business Mailing Address
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Address Line | 2700 F ST STE 210
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1850
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Country | US
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Telephone | 616-312-2296
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Fax | 661-742-1644
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIRANJAN DASS
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Credential | M. D.
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Telephone | 661-631-2229
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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 |
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License Number State |
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