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General NPI Number Information
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NPI Number | 1932528908
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Entity Type | Individual
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Provider Name | MR. KARAN SRIVASTAVA
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 9610 STOCKDALE HWY UNIT C
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3626
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Country | US
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Telephone | 661-544-3352
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Fax | 661-544-3432
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Provider Business Mailing Address
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Address Line | 432 LEXINGTON ST STE C
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City | DELANO
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State | CA
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Zip | 93215-3696
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Country | US
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Telephone | 661-544-3352
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Fax | 661-544-3432
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A168067
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License Number State | CA
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