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General NPI Number Information
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NPI Number | 1821066432
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Entity Type | Individual
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Provider Name | PHILLIP D KLAHR MD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 678 CEDAR LAWN AVE.
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City | LAWRENCE
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State | NY
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Zip | 11559
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Country | US
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Telephone | 516-882-7902
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Fax |
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Provider Business Mailing Address
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Address Line | 678 CEDAR LAWN AVE.
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City | LAWRENCE
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State | NY
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Zip | 11559
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Country | US
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Telephone | 516-882-7902
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Fax |
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD065384L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD065384L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD065384L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 241748
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License Number State | MA
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