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General NPI Number Information
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NPI Number | 1396144689
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Entity Type | Organization
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Legal Business Name | KLINE CHIROPRACTIC
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 14390 CLAY TERRACE BLVD 261
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City | CARMEL
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State | IN
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Zip | 46032-3627
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Country | US
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Telephone | 317-587-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 14390 CLAY TERRACE BLVD 261
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City | CARMEL
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State | IN
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Zip | 46032-3627
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Country | US
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Telephone | 317-587-2705
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNDER
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Name | DR. HEIDI M KLINE
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Credential | D.C.
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Telephone | 317-289-4959
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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 | 08002315A
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License Number State | IN
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