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General NPI Number Information
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NPI Number | 1245408418
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Entity Type | Organization
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Legal Business Name | JEFFREY T. KLEIN, D.P.M., P.C.
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 1695 12 MILE RD STE 220
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City | BERKLEY
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State | MI
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Zip | 48072-2100
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Country | US
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Telephone | 248-808-6012
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Fax |
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Provider Business Mailing Address
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Address Line | 6371 ALDEN DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48324-2002
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Country | US
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Telephone | 248-360-8971
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY T KLEIN
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Credential | D.P.M.
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Telephone | 313-934-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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