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General NPI Number Information
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NPI Number | 1144486887
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Entity Type | Organization
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Legal Business Name | JOHN E. KOHLER O.D. INC.
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 465 W OCEAN VIEW AVE
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City | DEL MAR
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State | CA
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Zip | 92014-3632
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Country | US
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Telephone | 858-481-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 465 W OCEAN VIEW AVE
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City | DEL MAR
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State | CA
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Zip | 92014-3632
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Country | US
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Telephone | 858-481-8994
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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. JOHN E. KOHLER
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Credential | O.D.
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Telephone | 85848189941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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