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General NPI Number Information
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NPI Number | 1205269784
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Entity Type | Individual
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Provider Name | MS. LISA KLEIMAN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 118 WATERS EDGE DR
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City | JUPITER
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State | FL
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Zip | 33477-4031
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Country | US
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Telephone | 516-835-7540
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Fax | 561-743-6923
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Provider Business Mailing Address
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Address Line | 118 WATERS EDGE DR
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City | JUPITER
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State | FL
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Zip | 33477-4031
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Country | US
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Telephone | 516-835-7540
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Fax | 561-743-6923
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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