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General NPI Number Information
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NPI Number | 1588054431
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Entity Type | Organization
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Legal Business Name | KURLAN DERMATOLOGY MEDICAL CENTER, INC
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 31515 RANCHO PUEBLO RD STE 201
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City | TEMECULA
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State | CA
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Zip | 92592-4837
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Country | US
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Telephone | 951-302-1302
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Fax | 760-239-6893
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Provider Business Mailing Address
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Address Line | 31515 RANCHO PUEBLO RD STE 201
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City | TEMECULA
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State | CA
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Zip | 92592-4837
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Country | US
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Telephone | 951-302-1302
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Fax | 760-239-6893
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Authorized Official
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Title or Position | OWNER
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Name | JULIA G KURLAN
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Credential | MD
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Telephone | 951-302-1302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C51819
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License Number State | CA
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