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General NPI Number Information
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NPI Number | 1841080132
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Entity Type | Individual
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Provider Name | CANDIDA SHARON BAHNMAIER
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 625 S FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91105-2613
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Country | US
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Telephone | 626-528-1622
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 401
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City | STANDISH
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State | CA
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Zip | 96128-0401
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Country | US
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Telephone | 859-397-2889
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | NA
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License Number State | CA
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