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General NPI Number Information
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NPI Number | 1598109019
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Entity Type | Individual
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Provider Name | KIMBERLY ANN OELSCHLAGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | MCCAIN BLVD. BLDG 601
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City | SAN DIEGO
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State | CA
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Zip | 92135-7046
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Country | US
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Telephone | 619-545-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 23770 ASPEN DR BLDG 601
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City | MURRIETA
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State | CA
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Zip | 92562-5041
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Country | US
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Telephone | 858-829-2698
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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