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General NPI Number Information
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NPI Number | 1235735432
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Entity Type | Organization
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Legal Business Name | ASHLYN KALIES, MD INC
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 11/25/2023
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 405-641-8058
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Fax |
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Provider Business Mailing Address
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Address Line | 325 N MAPLE DR UNIT 524
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-4835
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Country | US
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Telephone | 405-641-8058
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ASHLYN KALIES
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Credential | MD
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Telephone | 405-641-8058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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