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General NPI Number Information
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NPI Number | 1295213841
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Entity Type | Organization
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Legal Business Name | G. KAMEN MEDICAL SERVICES AND URGENT CARE ON DEMAND PC
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Dates
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Enumeration Date | 08/04/2018
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 1787 OCEANAIRE CT
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405
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Country | US
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Telephone | 805-888-1073
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Fax | 877-253-0737
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Provider Business Mailing Address
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Address Line | PO BOX 16858
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City | ASHEVILLE
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State | NC
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Zip | 28816-0858
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Country | US
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Telephone | 828-551-9331
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Fax | 800-515-1908
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Authorized Official
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Title or Position | CEO
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Name | GEOFFREY LEE KAMEN
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Credential | MD
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Telephone | 805-888-1073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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