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General NPI Number Information
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NPI Number | 1144068875
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Entity Type | Organization
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Legal Business Name | KLASS INJURY CARE LLC
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 900 NE 125TH ST STE 200
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5745
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Country | US
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Telephone | 561-502-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 900 NE 125TH ST STE 200
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5745
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Country | US
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Telephone | 786-567-9894
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Fax | 786-567-9754
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER WINSA CHARLES
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Credential |
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Telephone | 908-803-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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