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General NPI Number Information
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NPI Number | 1043524333
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Entity Type | Organization
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Legal Business Name | BRUCE J KLEIMAN MD PC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 533 FRONT ST APT 203
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City | NORFOLK
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State | VA
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Zip | 23510-1078
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Country | US
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Telephone | 757-685-6151
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Fax | 757-961-8385
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Provider Business Mailing Address
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Address Line | 533 FRONT ST APT 203
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City | NORFOLK
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State | VA
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Zip | 23510-1078
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Country | US
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Telephone | 757-685-6151
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Fax | 757-961-8385
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE J KLEIMAN
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Credential | MD
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Telephone | 757-685-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101239530
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License Number State | VA
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