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General NPI Number Information
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NPI Number | 1912946278
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Entity Type | Individual
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Provider Name | KEVIN JEFFREY LAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1524 W 14TH ST STE 120
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City | TEMPE
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State | AZ
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Zip | 85281-6974
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Country | US
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Telephone | 602-343-7201
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Fax |
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Provider Business Mailing Address
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Address Line | 28173 RUFFIAN DR
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City | FAIR OAKS
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State | TX
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Zip | 78015-4807
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Country | US
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Telephone | 817-412-5610
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Fax | 817-412-5991
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 46104
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 53404
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | K2163
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | MD488369C
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K1263
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License Number State | TX
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