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General NPI Number Information
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NPI Number | 1487100160
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Entity Type | Organization
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Legal Business Name | GARY P. KLUGMAN, DDS
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 935 BLANCO CIR
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City | SALINAS
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State | CA
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Zip | 93901-4446
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Country | US
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Telephone | 831-422-7838
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Fax | 831-422-1007
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Provider Business Mailing Address
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Address Line | 935 BLANCO CIR
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City | SALINAS
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State | CA
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Zip | 93901-4446
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Country | US
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Telephone | 831-422-7838
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Fax | 831-422-1007
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. GARY PHILLIP KLUGMAN
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Credential | D.D.S.
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Telephone | 831-422-7838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26192
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License Number State | CA
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