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General NPI Number Information
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NPI Number | 1831374198
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Entity Type | Organization
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Legal Business Name | DR GARY S KAPLAN PC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 14608 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48205-1931
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Country | US
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Telephone | 313-527-6030
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Fax | 313-527-3189
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Provider Business Mailing Address
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Address Line | 14608 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48205-1931
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Country | US
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Telephone | 313-527-6030
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Fax | 313-527-3189
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Authorized Official
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Title or Position | OWNER
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Name | GARY S KAPLAN
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Credential | DPM
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Telephone | 313-527-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | GK000625
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License Number State | MI
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