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General NPI Number Information
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NPI Number | 1164637757
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Entity Type | Organization
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Legal Business Name | HEINZ J. KLEIN, D.M.D. & LINDA R. KONO, D.M.D., INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2020 S BASCOM AVE STE. 101
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City | CAMPBELL
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State | CA
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Zip | 95008-3269
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Country | US
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Telephone | 408-371-1313
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Fax | 408-371-1817
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Provider Business Mailing Address
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Address Line | 2020 S BASCOM AVE STE. 101
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City | CAMPBELL
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State | CA
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Zip | 95008-3269
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Country | US
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Telephone | 408-371-1313
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Fax | 408-371-1817
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HEINZ JURGEN KLEIN
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Credential | D.M.D.
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Telephone | 408-371-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40637
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License Number State | CA
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