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General NPI Number Information
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NPI Number | 1881874683
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Entity Type | Organization
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Legal Business Name | PANSOPHY INC.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 100 CORPORATE PLACE SUITE D
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City | VALLEJO
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State | CA
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Zip | 94590
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Country | US
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Telephone | 707-642-6811
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Fax | 707-642-6917
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Provider Business Mailing Address
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Address Line | 3479 WOODSIDE TER
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City | FREMONT
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State | CA
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Zip | 94539-8073
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Country | US
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Telephone | 707-642-6811
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Fax | 707-642-6917
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MANJU ASTHANA
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Credential |
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Telephone | 510-709-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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