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General NPI Number Information
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NPI Number | 1316153570
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Entity Type | Organization
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Legal Business Name | KLEIN MEDICAL GROUP INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 700 CASS ST STE 116
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City | MONTEREY
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State | CA
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Zip | 93940-2921
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Country | US
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Telephone | 831-758-4412
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3224
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City | MONTEREY
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State | CA
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Zip | 93942-3224
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Country | US
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Telephone | 831-758-4412
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Fax |
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Authorized Official
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Title or Position | VP
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Name | JUNE SELIBER-KLEIN
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Credential | MD
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Telephone | 831-758-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G72711
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | G71699
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License Number State | CA
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