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General NPI Number Information
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NPI Number | 1184681447
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Entity Type | Individual
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Provider Name | DAVID H KLINE DO
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 750 WARM SPRINGS AVE STE A
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City | BOISE
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State | ID
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Zip | 83712-6457
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Country | US
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Telephone | 208-344-5628
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Fax | 208-345-2907
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Provider Business Mailing Address
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Address Line | 1007 N 6TH ST
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City | BOISE
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State | ID
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Zip | 83702-4339
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Country | US
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Telephone | 208-344-5628
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Fax | 208-345-2907
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO14247
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License Number State | OR
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