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General NPI Number Information
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NPI Number | 1649459025
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Entity Type | Organization
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Legal Business Name | JERRY H. KAYE, M.D., INC.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 227 W JANSS RD SUITE 110
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1848
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Country | US
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Telephone | 805-496-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 1394 DORAL CIR
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4370
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Country | US
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Telephone | 805-496-6051
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERRY H. KAYE
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Credential | M.D.
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Telephone | 805-496-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | C31187
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License Number State | CA
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