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NPI 1992123541

NPI 1992123541 : KLEEMAN FAMILY MEDICINE LLC : TELL CITY, IN

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General NPI Number Information
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    NPI Number           |    1992123541
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    Entity Type          |    Organization 
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    Legal Business Name  |    KLEEMAN FAMILY MEDICINE LLC 
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Dates
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    Enumeration Date     |    04/01/2014
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    Last Update Date     |    09/24/2025
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Provider Practice Location Address
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    Address Line         |    8475 DAUBY LN 
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    City                 |    TELL CITY
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    State                |    IN
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    Zip                  |    47586-8346
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    Country              |    US
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    Telephone            |    812-547-0475
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    Fax                  |    812-547-1300
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Provider Business Mailing Address
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    Address Line         |    8475 DAUBY LN 
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    City                 |    TELL CITY
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    State                |    IN
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    Zip                  |    47586-8346
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    Country              |    US
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    Telephone            |    812-547-0475
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    Fax                  |    812-547-1300
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ERIC F KLEEMAN 
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    Credential           |    MD
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    Telephone            |    812-547-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    01061167A
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    License Number State |    IN
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