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General NPI Number Information
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NPI Number | 1649360413
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Entity Type | Individual
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Provider Name | THOMAS WRIGHT KLAMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 3991 DUTCHMANS LANE, #103
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City | LOUISVILLE
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State | KY
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Zip | 40207-1363
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Country | US
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Telephone | 502-897-0635
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Fax | 502-895-3219
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Provider Business Mailing Address
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Address Line | P O BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-272-5100
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Fax | 502-272-5116
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 18604
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License Number State | KY
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