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General NPI Number Information
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NPI Number | 1164153938
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Entity Type | Individual
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Provider Name | THOMAS CHANDLER KLEINE JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 5104 S FIELD ST
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City | LITTLETON
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State | CO
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Zip | 80123-7329
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Country | US
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Telephone | 303-647-9085
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 W 29TH AVE APT 208
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City | DENVER
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State | CO
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Zip | 80211-4594
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Country | US
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Telephone | 757-763-8440
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Fax |
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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 | DEN.00205175
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License Number State | CO
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