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General NPI Number Information
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NPI Number | 1295811248
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Entity Type | Individual
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Provider Name | TODD ALLEN KELSCH O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1801 E TAHQUITZ CANYON WAY STE 200
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City | PALM SPRINGS
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State | CA
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Zip | 92262-7123
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Country | US
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Telephone | 800-898-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 41877 ENTERPRISE CIR N STE 110
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City | TEMECULA
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State | CA
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Zip | 92590-5628
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Country | US
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Telephone | 951-296-2244
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Fax | 951-296-3602
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 639
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT8996-TPA
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License Number State | CA
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