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General NPI Number Information
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NPI Number | 1326364233
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Entity Type | Individual
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Provider Name | MATTHEW KLEIN DO
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Gender | Male
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 5110 OLD ELLIS PT
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City | ROSWELL
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State | GA
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Zip | 30076-3863
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Country | US
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Telephone | 602-875-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 360 RANCHO DR UNIT 114
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City | WINDSOR
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State | CO
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Zip | 80550-7945
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Country | US
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Telephone | 602-875-0600
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Fax | 602-875-0606
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 76647
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 76647
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License Number State | GA
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