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General NPI Number Information
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NPI Number | 1902275407
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Entity Type | Organization
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Legal Business Name | PETER CHARLES KLATSKY, M.D. INC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1 DANIEL BURNHAM CT SUITE 110C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5455
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Country | US
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Telephone | 415-200-6259
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DANIEL BURNHAM CT SUITE 110C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5455
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PETER KLATSKY
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Credential | MD
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Telephone | 415-200-6259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A91127
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License Number State | CA
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