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General NPI Number Information
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NPI Number | 1598006652
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Entity Type | Organization
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Legal Business Name | DANIEL GENE KOLDER, M.D. A CALIFORNIA PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 2460 N PONDEROSA DR SUITE A-117
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City | CAMARILLO
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State | CA
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Zip | 93010-2398
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Country | US
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Telephone | 805-484-2855
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Fax | 805-389-1245
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Provider Business Mailing Address
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Address Line | 2460 N PONDEROSA DR SUITE A-117
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City | CAMARILLO
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State | CA
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Zip | 93010-2398
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Country | US
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Telephone | 805-484-2855
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Fax | 805-389-1245
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL GENE KOLDER
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Credential | MD
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Telephone | 805-484-2855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | CA
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