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General NPI Number Information
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NPI Number | 1548460330
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Entity Type | Organization
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Legal Business Name | KELVIN LOH, MD. FACS.
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 301 S MOORPARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1008
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Country | US
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Telephone | 805-379-9646
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Fax | 805-379-0611
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Provider Business Mailing Address
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Address Line | 301 S MOORPARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1008
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Country | US
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Telephone | 805-379-9646
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Fax | 805-379-0611
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELVIN LOH
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Credential | M.D.
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Telephone | 805-379-9646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | G13628
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License Number State | CA
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