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General NPI Number Information
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NPI Number | 1932477460
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Entity Type | Individual
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Provider Name | DAVID L PELLANDINI HAD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 103 CYPRESS ST
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City | FORT BRAGG
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State | CA
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Zip | 95437-5401
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Country | US
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Telephone | 707-962-9230
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Fax | 707-523-0260
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Provider Business Mailing Address
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Address Line | 103 CYPRESS ST
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City | FORT BRAGG
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State | CA
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Zip | 95437-5401
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Country | US
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Telephone | 707-962-9230
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Fax | 707-962-9230
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA2892
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License Number State | CA
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