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General NPI Number Information
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NPI Number | 1083667273
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Entity Type | Individual
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Provider Name | RYAN D KLINEFELTER MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 885 N SANDUSKY AVE
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City | UPPER SANDUSKY
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State | OH
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Zip | 43351-1031
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Country | US
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Telephone | 419-294-1973
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Fax |
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Provider Business Mailing Address
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Address Line | 885 N SANDUSKY AVE
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City | UPPER SANDUSKY
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State | OH
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Zip | 43351-1031
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Country | US
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Telephone | 419-294-1973
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 350799691
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 35.079681
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License Number State | OH
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