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General NPI Number Information
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NPI Number | 1346392487
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Entity Type | Organization
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Legal Business Name | MICHAEL E KLEINMAN DMD PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 231 NORTH MAIN STREET
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City | SOUDERTON
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State | PA
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Zip | 18964
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Country | US
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Telephone | 215-723-3674
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Fax | 215-723-5132
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Provider Business Mailing Address
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Address Line | 231 NORTH MAIN STREET
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City | SOUDERTON
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State | PA
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Zip | 18964
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Country | US
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Telephone | 215-723-3674
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Fax | 215-723-5132
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL E KLEINMAN
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Credential | DMD
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Telephone | 215-723-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS028679L
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License Number State | PA
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