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General NPI Number Information
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NPI Number | 1083157093
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Entity Type | Individual
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Provider Name | MATTHEW C KLINGLER D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 200 N MINNESOTA AVE APT. 31
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City | GLENDORA
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State | CA
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Zip | 91741-6909
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Country | US
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Telephone | 916-580-4306
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N MINNESOTA AVE APT. 31
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City | GLENDORA
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State | CA
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Zip | 91741-6909
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Country | US
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Telephone | 916-580-4306
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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