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General NPI Number Information
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NPI Number | 1972809978
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Entity Type | Organization
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Legal Business Name | ANDHAVARAPU & CABALUNA INC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 1524 W LACEY BLVD
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City | HANFORD
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State | CA
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Zip | 93230-5965
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Country | US
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Telephone | 559-583-4505
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Fax |
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Provider Business Mailing Address
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Address Line | 296 W HAROLD GRISWOLD WAY
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City | HANFORD
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State | CA
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Zip | 93230-8310
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Country | US
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Telephone | 559-381-9051
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GIRIDHAR ANDHAVARAPU
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Credential | M.D.
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Telephone | 559-583-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A102374
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License Number State | CA
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