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General NPI Number Information
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NPI Number | 1639278351
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Entity Type | Organization
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Legal Business Name | THOMAS A KAHAN MD PC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 8330 WHEATLAND RD N
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City | KEIZER
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State | OR
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Zip | 97303-3469
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Country | US
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Telephone | 503-508-4283
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Fax | 503-371-0606
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Provider Business Mailing Address
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Address Line | 8330 WHEATLAND RD N
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City | KEIZER
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State | OR
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Zip | 97303-3469
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Country | US
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Telephone | 503-508-4283
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Fax | 503-371-0606
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Authorized Official
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Title or Position | PRES
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Name | DR. THOMAS A KAHAN
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Credential | MD
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Telephone | 503-508-4283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD11190
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License Number State | OR
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