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General NPI Number Information
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NPI Number | 1093059438
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Entity Type | Individual
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Provider Name | DON KLEINDL III A.A., BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 805 E STATE ST
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City | CHERRY VALLEY
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State | IL
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Zip | 61016-9363
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Country | US
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Telephone | 815-298-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 12135 LAUREL LN
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City | CALEDONIA
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State | IL
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Zip | 61011-9110
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Country | US
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Telephone | 815-298-5559
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3060
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1363
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License Number State | WI
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