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General NPI Number Information
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NPI Number | 1710708185
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Entity Type | Organization
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Legal Business Name | K & L RESEARCH LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 8010 FROST ST # 210
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City | SAN DIEGO
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State | CA
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Zip | 92123-2778
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Country | US
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Telephone | 858-939-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 5316 WESTKNOLL DR
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City | SAN DIEGO
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State | CA
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Zip | 92109-1337
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Country | US
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Telephone | 414-232-2644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC LUEDKE
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Credential | MD
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Telephone | 414-232-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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