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General NPI Number Information
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NPI Number | 1073666228
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Entity Type | Individual
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Provider Name | MICHAEL I KLIBANER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ASTRAZENECA L.P. 1800 CONCORD PIKE
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City | WILMINGTON
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State | DE
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Zip | 19850
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Country | US
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Telephone | 302-885-8331
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Fax |
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Provider Business Mailing Address
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Address Line | 405 ANDREW RD
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City | MERION STATION
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State | PA
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Zip | 19066-1327
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Country | US
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Telephone | 302-885-8331
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 48340
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License Number State | MA
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