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General NPI Number Information
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NPI Number | 1114962644
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Entity Type | Organization
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Legal Business Name | JEFFREY P. LETZER, DO, PLC. DBA KALAMAZOO HEMATOLOGY & ONCOLOGY
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 1634 GULL RD SUITE 103
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City | KALAMAZOO
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State | MI
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Zip | 49048
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Country | US
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Telephone | 269-341-9200
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Fax | 269-341-4197
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Provider Business Mailing Address
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Address Line | 1634 GULL RD SUITE 103
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City | KALAMAZOO
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State | MI
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Zip | 49048
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Country | US
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Telephone | 269-341-9200
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Fax | 269-341-4197
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY P. LETZER
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Credential | D.O.
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Telephone | 269-341-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | JL010182
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License Number State | MI
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