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General NPI Number Information
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NPI Number | 1255147435
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Entity Type | Individual
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Provider Name | ANGELINE KLEIN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1260 MEADOWBROOK RD
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City | MERRICK
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State | NY
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Zip | 11566-1542
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Country | US
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Telephone | 516-374-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 751 GARDINERS AVE
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City | LEVITTOWN
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State | NY
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Zip | 11756-3733
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Country | US
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Telephone | 516-589-3991
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 124906-01
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License Number State | NY
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