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NPI 1861604779

NPI 1861604779 : KARI AHNFELDT D.O. : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1861604779
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    Entity Type          |    Individual 
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    Provider Name        |    KARI AHNFELDT D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2007
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    10780 PEBBLE HILLS BLVD STE G1 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79935-2039
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    Country              |    US
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    Telephone            |    915-773-0606
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    Fax                  |    915-591-0726
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Provider Business Mailing Address
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    Address Line         |    8061 ALAMEDA AVE 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79915-4705
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    Country              |    US
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    Telephone            |    915-859-7545
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    Fax                  |    915-859-9862
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    M6005
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    License Number State |    TX
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