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General NPI Number Information
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NPI Number | 1801902432
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Entity Type | Individual
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Provider Name | MARK T KLUCKA D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4 MEMORIAL DR STE 230
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City | ALTON
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State | IL
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Zip | 62002-6704
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Country | US
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Telephone | 618-463-7874
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 959203
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City | SAINT LOUIS
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State | MO
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Zip | 63195-1281
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Country | US
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Telephone | 618-463-7874
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Fax | 618-463-7846
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036077227
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036.077227
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License Number State | IL
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