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General NPI Number Information
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NPI Number | 1336444983
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Entity Type | Individual
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Provider Name | KYLE BRANDON KLIM DC
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Gender | Male
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 130 W MAIN ST SWEDE FAMILY CHIROPRACTIC
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City | TRAPPE
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State | PA
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Zip | 19426-2025
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Country | US
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Telephone | 610-831-1650
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Fax | 610-831-1651
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Provider Business Mailing Address
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Address Line | 130 W MAIN ST SWEDE FAMILY CHIROPRACTIC
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City | TRAPPE
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State | PA
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Zip | 19426-2025
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Country | US
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Telephone | 610-831-1650
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Fax | 610-831-1651
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010391
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | AJ010191
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License Number State | PA
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