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General NPI Number Information
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NPI Number | 1700374469
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Entity Type | Individual
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Provider Name | KELLIE D SPECTOR MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 363 S MAIN ST # 485
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City | ORANGE
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State | CA
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Zip | 92868-3813
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Country | US
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Telephone | 714-835-4800
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Fax | 714-835-1900
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Provider Business Mailing Address
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Address Line | 8700 BEVERLY BLVD STE 5512
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A165496
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License Number State | CA
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