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General NPI Number Information
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NPI Number | 1144412792
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Entity Type | Individual
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Provider Name | JESSICA RUTH KLEIN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 3155 STATE ROUTE 10 SUITE 102
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City | DENVILLE
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State | NJ
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Zip | 07834-3492
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Country | US
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Telephone | 973-328-3500
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Fax | 973-328-0662
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Provider Business Mailing Address
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Address Line | 3155 STATE ROUTE 10 SUITE 102
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City | DENVILLE
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State | NJ
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Zip | 07834-3492
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Country | US
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Telephone | 973-328-3500
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Fax | 973-328-0662
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22D102333200
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License Number State | NJ
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