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General NPI Number Information
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NPI Number | 1093087926
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Entity Type | Organization
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Legal Business Name | BARRY J. KLYDE MD. PC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 520 E 72ND ST
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City | NEW YORK
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State | NY
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Zip | 10021-4849
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Country | US
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Telephone | 212-772-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E 72ND ST
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City | NEW YORK
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State | NY
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Zip | 10021-4849
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Country | US
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Telephone | 212-772-3333
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Fax |
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Authorized Official
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Title or Position | ENDOCRINOLOGIST
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Name | DR. BARRY KLYDE
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Credential | MD
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Telephone | 212-772-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 124116
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License Number State | NY
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