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NPI Code Detail

MEDICARE: MR. GERALD THOMAS KAPLAN M.A.

MEDICARE: MR. GERALD THOMAS KAPLAN M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistLP2681MN

General Provider Information

NPI Number : 1427437631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GERALD THOMAS KAPLAN M.A.
Provider Business Mailing Address
First Line : 2712 FREMONT AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1122
Country : US
Telephone Number : 612-872-8218
Fax Number : 612-874-8885
Provider Business Practice Location Address
First Line : 2712 FREMONT AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1122
Country : US
Telephone Number : 612-872-8218
Fax Number : 612-874-8885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2015
Last Update Date : 05/20/2015

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