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General NPI Number Information
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NPI Number | 1881666360
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Entity Type | Individual
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Provider Name | MICHEL JOHN KEARNS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92134-0001
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Country | US
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Telephone | 619-562-6400
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 819 BOX 4503
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City | FPO
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State | AE
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Zip | 09645-0046
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Country | US
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Telephone |
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A82110
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 82110
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License Number State | CA
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