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General NPI Number Information
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NPI Number | 1295942969
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Entity Type | Organization
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Legal Business Name | GETTELMAN, ZUKOW, KEER MD
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5525 ETIWANDA AVE 212
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City | TARZANA
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State | CA
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Zip | 91356
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Country | US
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Telephone | 818-996-9708
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Fax | 818-996-9709
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Provider Business Mailing Address
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Address Line | 5525 ETIWANDA AVE 212
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City | TARZANA
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State | CA
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Zip | 91356
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Country | US
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Telephone | 818-996-9708
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Fax | 818-996-9709
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Authorized Official
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Title or Position | MD PRES SEC
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Name | KENNETH R KEER
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Credential | MD
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Telephone | 818-996-9677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G10084
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A788096
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A19954
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License Number State | CA
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