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General NPI Number Information
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NPI Number | 1154489318
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Entity Type | Organization
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Legal Business Name | MITCHELL A. KLINE MD PC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 700 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-4930
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Country | US
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Telephone | 212-517-6555
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Fax | 212-476-6796
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Provider Business Mailing Address
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Address Line | 700 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-4930
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Country | US
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Telephone | 212-517-6555
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Fax | 212-476-6796
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Authorized Official
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Title or Position | DERMATOLOGISTS PROVIDER
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Name | DR. MITCHELL A KLINE
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Credential | M.D.,P.C.
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Telephone | 212-517-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 169608
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License Number State | NY
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