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General NPI Number Information
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NPI Number | 1295295673
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Entity Type | Individual
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Provider Name | HADAR KEREN-GILL MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 757 WESTWOOD PLZ
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City | LOS ANGELES
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State | CA
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Zip | 90095-1197
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Country | US
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Telephone | 310-869-4851
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 OVERLAND AVE APT 8139
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City | LOS ANGELES
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State | CA
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Zip | 90034-4551
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Country | US
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Telephone | 650-518-6237
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A178021
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License Number State | CA
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