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General NPI Number Information
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NPI Number | 1528093101
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Entity Type | Individual
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Provider Name | ALLEN KAISLER-MEZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1688 WILLOW ST STE D
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City | SAN JOSE
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State | CA
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Zip | 95125-5109
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Country | US
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Telephone | 408-264-5570
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Fax | 408-264-5576
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Provider Business Mailing Address
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Address Line | 1688 WILLOW ST STE D
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City | SAN JOSE
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State | CA
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Zip | 95125-5109
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Country | US
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Telephone | 408-264-5570
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Fax | 408-264-5576
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G74906
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | G74906
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License Number State | CA
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