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General NPI Number Information
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NPI Number | 1124055694
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Entity Type | Individual
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Provider Name | WARREN N KLEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 920 BROADWAY, 8TH FL., STE. 13
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City | NEW YORK
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State | NY
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Zip | 10010
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Country | US
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Telephone | 212-592-3951
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Fax |
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Provider Business Mailing Address
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Address Line | 1143 1ST AVE APT. 2C
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City | NEW YORK
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State | NY
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Zip | 10021-7700
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Country | US
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Telephone | 212-592-3951
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 12556-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 12556-1
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License Number State | NY
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