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General NPI Number Information
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NPI Number | 1376567941
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Entity Type | Individual
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Provider Name | GERALD E. KLEIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/07/2021
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Provider Practice Location Address
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Address Line | 101 WHEELER DR SUITE B
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City | FULTON
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State | MS
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Zip | 38843
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Country | US
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Telephone | 662-862-2071
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Fax | 662-862-2071
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Provider Business Mailing Address
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Address Line | PO BOX 824
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City | FULTON
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State | MS
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Zip | 38843-0824
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Country | US
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Telephone | 662-862-2071
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Fax | 662-862-2071
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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 | 0990
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License Number State | MS
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