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General NPI Number Information
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NPI Number | 1245232883
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Entity Type | Individual
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Provider Name | LESTER ROBERT KLEBE DPM
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 10555 N TATUM BLVD A101
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1096
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Country | US
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Telephone | 602-954-0777
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Fax | 602-954-6843
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Provider Business Mailing Address
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Address Line | 10555 N TATUM BLVD A101
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1096
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Country | US
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Telephone | 602-954-0777
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Fax | 602-954-6843
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0120
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License Number State | AZ
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