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General NPI Number Information
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NPI Number | 1922889559
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Entity Type | Organization
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Legal Business Name | MY PUNJAB, LLC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 7320 WIBLE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93313
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Country | US
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Telephone | 818-317-9520
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Fax | 818-712-8009
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Provider Business Mailing Address
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Address Line | 19350 BUSINESS CENTER DR STE 112
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City | NORTHRIDGE
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State | CA
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Zip | 91324-6454
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Country | US
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Telephone | 818-317-9520
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Fax | 818-706-2400
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | NANDINI KUMAR
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Credential | RN
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Telephone | 818-317-9520
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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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