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General NPI Number Information
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NPI Number | 1386897809
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Entity Type | Individual
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Provider Name | MARIA S KLING NP
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 831 NW COUNCIL DR SUITE 101
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City | GRESHAM
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State | OR
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Zip | 97030-3721
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Country | US
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Telephone | 503-665-8176
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Fax | 503-665-8178
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Provider Business Mailing Address
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Address Line | PO BOX 92900
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City | PORTLAND
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State | OR
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Zip | 97292-0900
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Country | US
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Telephone | 503-665-8176
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 201393371NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 18610
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License Number State | CA
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