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General NPI Number Information
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NPI Number | 1093978785
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Entity Type | Individual
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Provider Name | STEFANI T KAPPEL M.D,
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 2020 SANTA MONICA BLVD 510
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City | SANTA MONICA
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State | CA
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Zip | 90404
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Country | US
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Telephone | 310-917-3376
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Fax | 310-582-6302
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Provider Business Mailing Address
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Address Line | 10833 LE CONTE AVE CHS 52-121
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City | LOS ANGELES
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State | CA
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Zip | 90095-3075
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Country | US
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Telephone | 310-825-5420
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A105498
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License Number State | CA
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