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General NPI Number Information
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NPI Number | 1710437025
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Entity Type | Organization
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Legal Business Name | KADIMA NEUROPSYCHIATRY INSTITUTE, MEDICAL CORP
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 3252 HOLIDAY CT STE 112
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City | LA JOLLA
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State | CA
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Zip | 92037-0027
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Country | US
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Telephone | 858-412-4130
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Fax |
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Provider Business Mailing Address
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Address Line | 3252 HOLIDAY CT SUITE 112
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City | LA JOLLA
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State | CA
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Zip | 92037-0027
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Country | US
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Telephone | 858-412-4130
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. DAVID FEIFEL
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Credential | M.D., PHD
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Telephone | 858-412-4130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A51236
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License Number State | CA
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