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General NPI Number Information
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NPI Number | 1598952939
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Entity Type | Organization
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Legal Business Name | KELLI C. KARCHES, M.D., INC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 6037 LA GRANADA
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067
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Country | US
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Telephone | 858-756-2116
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Fax |
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Provider Business Mailing Address
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Address Line | 7468 LAS LUNAS
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City | SAN DIEGO
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State | CA
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Zip | 92127-3851
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Country | US
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Telephone | 858-756-7398
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KELLI C KARCHES
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Credential | M.D.
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Telephone | 858-756-7398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A80931
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License Number State | CA
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