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General NPI Number Information
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NPI Number | 1356598445
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Entity Type | Individual
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Provider Name | JOHN WALTER KLINKNER BS
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Gender | Male
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 1000 W VIEW PARK DR SUITE 7/8
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City | PITTSBURGH
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State | PA
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Zip | 15229-1785
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Country | US
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Telephone | 412-931-2850
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Fax |
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Provider Business Mailing Address
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Address Line | 112 AMBER CT
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City | WEXFORD
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State | PA
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Zip | 15090-7102
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT007127L
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License Number State | PA
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