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General NPI Number Information
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NPI Number | 1043444359
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Entity Type | Organization
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Legal Business Name | EUGENE KAPLAN, MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 120 LA CASA VIA SUITE 209
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3007
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Country | US
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Telephone | 925-979-9969
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Fax | 925-979-9979
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Provider Business Mailing Address
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Address Line | 120 LA CASA VIA SUITE 209
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3007
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Country | US
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Telephone | 925-979-9969
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Fax | 925-979-9979
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. IRENA KAPLAN
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Credential |
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Telephone | 925-979-9969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A672920
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License Number State | CA
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