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General NPI Number Information
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NPI Number | 1083844104
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER KLING, M.D., INC.
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 16759 MAIN ST SUITE 201
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City | WILDWOOD
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State | MO
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Zip | 63040-1232
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Country | US
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Telephone | 636-821-1661
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Fax | 636-821-1665
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Provider Business Mailing Address
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Address Line | 16759 MAIN ST SUITE 201
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City | WILDWOOD
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State | MO
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Zip | 63040-1232
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Country | US
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Telephone | 636-821-1661
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Fax | 636-821-1665
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. CHRISTOPHER W KLING
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Credential | MD
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Telephone | 636-821-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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