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General NPI Number Information
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NPI Number | 1356137863
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Entity Type | Individual
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Provider Name | CAROLINE KALAYEDJIAN NP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1477 S MANCHESTER AVE
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City | ANAHEIM
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State | CA
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Zip | 92802-2905
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Country | US
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Telephone | 714-782-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 1477 S MANCHESTER AVE
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City | ANAHEIM
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State | CA
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Zip | 92802-2905
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Country | US
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Telephone | 714-782-1700
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP500008627
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024193224
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95028771
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License Number State | CA
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