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General NPI Number Information
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NPI Number | 1053931618
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Entity Type | Individual
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Provider Name | DOUGLAS KLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 4777 E GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45236-2725
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Country | US
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Telephone | 513-558-5281
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Fax | 513-558-5281
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Provider Business Mailing Address
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Address Line | 701 PARK AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1623
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Country | US
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Telephone | 612-873-3000
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.147338
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License Number State | OH
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