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General NPI Number Information
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NPI Number | 1326266529
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Entity Type | Organization
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Legal Business Name | KLE INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 8956 ELLIS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3302
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Country | US
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Telephone | 310-559-1400
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Fax | 310-559-1401
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Provider Business Mailing Address
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Address Line | 8956 ELLIS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3302
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Country | US
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Telephone | 310-559-1400
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Fax | 310-559-1401
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Authorized Official
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Title or Position | CEO
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Name | KEVIN LAXER
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Credential |
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Telephone | 310-920-8199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY 47116
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License Number State | CA
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