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General NPI Number Information
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NPI Number | 1134344682
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Entity Type | Organization
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Legal Business Name | KALAMAZOO ANESTHESIOLOGY, PC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7920 KIRKLAND CT
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City | PORTAGE
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State | MI
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Zip | 49024-4974
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Country | US
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Telephone | 269-381-7246
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Fax | 269-345-5354
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Provider Business Mailing Address
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Address Line | 900 PEELER ST
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City | KALAMAZOO
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State | MI
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Zip | 49008-2380
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Country | US
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Telephone | 269-345-8618
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Fax | 269-345-1508
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROBERT F. KELLER
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Credential |
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Telephone | 269-345-8618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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