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General NPI Number Information
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NPI Number | 1104008119
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Entity Type | Organization
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Legal Business Name | ALAN BARRY KLEIN, MD.
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 4912 US HIGHWAY 42 SUITE 103
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City | LOUISVILLE
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State | KY
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Zip | 40222-6349
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Country | US
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Telephone | 502-429-0414
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Fax | 502-429-0415
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Provider Business Mailing Address
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Address Line | 4912 US HIGHWAY 42 SUITE 103
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City | LOUISVILLE
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State | KY
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Zip | 40222-6349
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Country | US
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Telephone | 502-429-0414
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Fax | 502-429-0415
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Authorized Official
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Title or Position | OWNER
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Name | ALAN BARRY KLEIN
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Credential | MD
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Telephone | 502-429-0414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24316
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License Number State | KY
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