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General NPI Number Information
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NPI Number | 1841556081
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Entity Type | Organization
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Legal Business Name | RAYMON T. KAPLAN M.D., INC.
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 4676 ADMIRALTY WAY SUITE 505
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6601
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Country | US
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Telephone | 310-823-2550
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Fax | 310-821-5235
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Provider Business Mailing Address
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Address Line | 4676 ADMIRALTY WAY SUITE 505
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6606
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Country | US
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Telephone | 310-823-2550
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Fax | 310-821-5235
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYMON T. KAPLAN
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Credential | M.D.
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Telephone | 310-823-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A19816
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License Number State | CA
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