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General NPI Number Information
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NPI Number | 1891975892
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Entity Type | Organization
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Legal Business Name | ADNAN KALELI MD, PC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 1147 HANCOCK ST SUITE 205
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City | QUINCY
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State | MA
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Zip | 02169-4343
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Country | US
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Telephone | 617-472-7003
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Fax | 617-471-9910
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Provider Business Mailing Address
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Address Line | 1147 HANCOCK ST SUITE 205
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City | QUINCY
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State | MA
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Zip | 02169-4343
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Country | US
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Telephone | 617-472-7003
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Fax | 617-471-9910
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADNAN KALELI
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Credential | M.D.
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Telephone | 617-472-7003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 53276
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License Number State | MA
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