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General NPI Number Information
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NPI Number | 1154521268
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Entity Type | Organization
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Legal Business Name | DOLORES R. KENT, M.D.,INC.
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 9201 W SUNSET BLVD STE 416
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City | LOS ANGELES
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State | CA
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Zip | 90069-3705
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Country | US
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Telephone | 310-860-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 W SUNSET BLVD STE 416
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City | LOS ANGELES
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State | CA
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Zip | 90069-3705
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Country | US
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Telephone | 310-860-9490
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DOLORES R. KENT
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Credential | M.D.
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Telephone | 310-860-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G35258
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License Number State | CA
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