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General NPI Number Information
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NPI Number | 1770905234
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Entity Type | Organization
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Legal Business Name | KHALKA FINANCIAL, LLC
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 3550 HARRISON BLVD. SUITE 2
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City | OGDEN
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State | UT
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Zip | 84403
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Country | US
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Telephone | 801-393-6200
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Fax | 801-394-3303
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Provider Business Mailing Address
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Address Line | 3550 HARRISON BLVD
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City | OGDEN
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State | UT
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Zip | 84403-2081
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Country | US
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Telephone | 801-393-6200
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Fax | 801-394-3303
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. KIRK H ALLRED
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Credential | D.D.S., M.S.D.
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Telephone | 801-393-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 141076-9921
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License Number State | UT
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