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General NPI Number Information
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NPI Number | 1780894949
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Entity Type | Individual
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Provider Name | LIGE M KAPLAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 6950 E CHAUNCEY LN
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City | PHOENIX
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State | AZ
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Zip | 85054-5178
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Country | US
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Telephone | 602-726-8805
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Fax | 623-873-8565
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Provider Business Mailing Address
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Address Line | 30575 WOODWARD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-0980
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Country | US
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Telephone | 248-280-8550
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Fax | 248-280-8571
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301080400
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 57750
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License Number State | AZ
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