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General NPI Number Information
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NPI Number | 1467436477
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Entity Type | Individual
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Provider Name | MARTIN BERK KAPLAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 6533 DREW AVE S
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City | EDINA
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State | MN
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Zip | 55435-2103
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Country | US
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Telephone | 952-927-7138
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Fax | 952-924-4021
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Provider Business Mailing Address
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Address Line | 6533 DREW AVE S
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City | EDINA
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State | MN
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Zip | 55435-2103
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Country | US
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Telephone | 952-927-7138
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Fax | 952-924-4021
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 16960
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License Number State | MN
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