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General NPI Number Information
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NPI Number | 1558633859
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Entity Type | Organization
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Legal Business Name | VLADIMIR KAYE, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 159 N RAYMOND AVE
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City | FULLERTON
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State | CA
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Zip | 92831-4609
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Country | US
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Telephone | 949-278-9744
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Fax | 310-400-3059
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Provider Business Mailing Address
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Address Line | 3123 BERMUDA DR
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City | COSTA MESA
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State | CA
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Zip | 92626-2303
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Country | US
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Telephone | 949-278-9744
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Fax | 310-400-3059
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Authorized Official
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Title or Position | PRESIDENT
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Name | VLADIMIR KAYE
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Credential | M.D.
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Telephone | 949-278-9744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A64244
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License Number State | CA
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