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General NPI Number Information
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NPI Number | 1447574033
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Entity Type | Organization
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Legal Business Name | GERALD KAPLAN, MD SC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 3000 N HALSTED ST SUITE 305
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City | CHICAGO
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State | IL
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Zip | 60657-5190
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Country | US
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Telephone | 773-296-3030
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Fax | 773-296-3033
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Provider Business Mailing Address
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Address Line | 3000 N HALSTED ST SUITE 305
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City | CHICAGO
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State | IL
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Zip | 60657-5190
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Country | US
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Telephone | 773-296-3030
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Fax | 773-296-3033
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD KAPLAN
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Credential | MD
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Telephone | 773-296-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036040717
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License Number State | IL
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