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General NPI Number Information
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NPI Number | 1194934604
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Entity Type | Individual
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Provider Name | KATIE C KLEIN PT
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6737 W WASHINGTON ST STE 3200
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City | WEST ALLIS
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State | WI
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Zip | 53214-5651
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Country | US
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Telephone | 414-607-0347
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Fax |
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Provider Business Mailing Address
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Address Line | S68W13407 BRISTLECONE LN
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City | MUSKEGO
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State | WI
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Zip | 53150-3331
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Country | US
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Telephone | 414-858-0332
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9883-024
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License Number State | WI
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