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General NPI Number Information
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NPI Number | 1376765610
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Entity Type | Individual
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Provider Name | HENRY C. KLINE SOCIAL WORKER
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | JEROME BELSON HEALTH CARE CENTER 245 EAST 149TH STREET
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City | BRONX
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State | NY
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Zip | 10451
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Country | US
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Telephone | 718-665-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 28 NORTH SPRING GARDEN AVENUE
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City | NUTLEY
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State | NJ
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Zip | 07110
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Country | US
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Telephone | 993-661-9110
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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