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General NPI Number Information
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NPI Number | 1225864978
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Entity Type | Organization
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Legal Business Name | L JOEL KESSLER M D A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 2021 SANTA MONICA BLVD STE 240E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2147
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Country | US
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Telephone | 310-453-0577
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Fax | 310-453-2832
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Provider Business Mailing Address
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Address Line | 2021 SANTA MONICA BLVD STE 240E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2147
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Country | US
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Telephone | 310-453-0577
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Fax | 310-453-2832
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Authorized Official
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Title or Position | OWNER
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Name | DR. LENNARD J KESSLER
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Credential | MD
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Telephone | 310-453-0577
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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 |
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License Number State |
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