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General NPI Number Information
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NPI Number | 1942233689
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Entity Type | Individual
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Provider Name | EVAN W KLIGMAN MD PC
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/29/2015
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Provider Practice Location Address
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Address Line | 2802 N ALVERNON WAY SUITE 200
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City | TUCSON
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State | AZ
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Zip | 85712-1500
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Country | US
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Telephone | 520-326-0850
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Fax | 520-326-0849
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Provider Business Mailing Address
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Address Line | 2802 N ALVERNON WAY SUITE 200
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City | TUCSON
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State | AZ
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Zip | 85712-1500
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Country | US
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Telephone | 520-326-0850
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Fax | 520-326-0849
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 26437
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License Number State | AZ
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