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General NPI Number Information
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NPI Number | 1275269086
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Entity Type | Organization
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Legal Business Name | ERIK KEREKES, M.D., INC.
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 401 OLD NEWPORT BLVD STE 101
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4276
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Country | US
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Telephone | 949-321-4400
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Fax | 949-321-4463
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Provider Business Mailing Address
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Address Line | 401 OLD NEWPORT BLVD STE 101
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4276
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Country | US
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Telephone | 949-321-4400
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Fax | 949-321-4463
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIK KEREKES
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Credential | MD
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Telephone | 949-321-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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