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General NPI Number Information
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NPI Number | 1508931023
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Entity Type | Individual
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Provider Name | KEVIN H HOVEIDA MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 4033 6TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2202
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Country | US
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Telephone | 619-298-9856
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Fax | 619-297-9236
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Provider Business Mailing Address
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Address Line | 4033 6TH. AVE. EXTENSION
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City | SAN DIEGO
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State | CA
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Zip | 92103
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Country | US
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Telephone | 619-298-9856
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Fax | 619-297-9236
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A46063
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A46063
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License Number State | CA
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