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General NPI Number Information
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NPI Number | 1144461401
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Entity Type | Organization
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Legal Business Name | LINDA M. KLATT
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 140 W BISHOP ST
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City | BELLEFONTE
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State | PA
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Zip | 16823-1927
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Country | US
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Telephone | 814-355-7731
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Fax | 814-355-0213
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Provider Business Mailing Address
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Address Line | 140 W BISHOP ST
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City | BELLEFONTE
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State | PA
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Zip | 16823-1927
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Country | US
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Telephone | 814-355-7731
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Fax | 814-355-0213
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. LINDA MARIE KLATT
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Credential | DMD
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Telephone | 814-355-7731
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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 | DS021928L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH004808L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH009277L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH006857L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS035581
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License Number State | PA
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