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General NPI Number Information
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NPI Number | 1871549329
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Entity Type | Organization
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Legal Business Name | PEDIATRIC DIAGNOSTIC CARDIAC SERVICES, INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2520 H ST SUITE C
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2800
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Country | US
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Telephone | 661-323-2341
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Fax | 661-323-2344
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Provider Business Mailing Address
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Address Line | 2520 H ST SUITE C
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2800
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Country | US
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Telephone | 661-323-2341
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Fax | 661-323-2344
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVE OKOLI
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Credential | RDCS
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Telephone | 661-323-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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