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General NPI Number Information
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NPI Number | 1962829119
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Entity Type | Individual
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Provider Name | JOHN KALASKY D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-374-7000
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Fax | 740-374-7701
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Provider Business Mailing Address
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Address Line | 6 HENDERSON CIR
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City | WILLIAMSTOWN
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State | WV
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Zip | 26187-8343
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Country | US
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Telephone | 303-335-5002
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 34012860
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.012860
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 5101027288
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License Number State | MI
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