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General NPI Number Information
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NPI Number | 1184508244
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Entity Type | Organization
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Legal Business Name | ERIC KLEIN REHABILITATION LLC
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 45 W BOULEVARD GDNS
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City | SALT LAKE CITY
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State | UT
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Zip | 84115-1939
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Country | US
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Telephone | 801-893-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 6211 S HIGHLAND DR # 4027
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City | HOLLADAY
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State | UT
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Zip | 84121-2125
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ERIC KLEIN
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Credential | MS CCC-SLP
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Telephone | 801-893-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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