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General NPI Number Information
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NPI Number | 1225442346
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Entity Type | Individual
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Provider Name | PETER DAVID KLECKNER AU.D
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18104-4812
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Country | US
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Telephone | 610-435-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD 2600
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-435-8299
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT006349
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License Number State | PA
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