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General NPI Number Information
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NPI Number | 1124167317
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Entity Type | Organization
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Legal Business Name | STEPHEN A KLEIN MD PC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 200 ROUTE 59
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City | SUFFERN
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State | NY
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Zip | 10901-5009
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Country | US
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Telephone | 845-369-9300
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Fax | 845-369-1219
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Provider Business Mailing Address
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Address Line | 200 ROUTE 59
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City | SUFFERN
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State | NY
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Zip | 10901-5009
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Country | US
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Telephone | 845-369-9300
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Fax | 845-369-1219
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN KLEIN
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Credential | MD
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Telephone | 845-369-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 224300
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 151797
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License Number State | NY
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