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General NPI Number Information
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NPI Number | 1750032082
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Entity Type | Organization
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Legal Business Name | KEVIN OEI D.O. MEDICAL CORP
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 1440 N HARBOR BLVD STE 110
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City | FULLERTON
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State | CA
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Zip | 92835-4114
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Country | US
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Telephone | 657-212-3212
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Fax | 657-212-3255
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Provider Business Mailing Address
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Address Line | 1440 N HARBOR BLVD STE 110
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City | FULLERTON
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State | CA
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Zip | 92835-4114
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Country | US
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Telephone | 657-212-3212
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Fax | 657-212-3255
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN OEI
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Credential | DO
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Telephone | 657-212-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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