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General NPI Number Information
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NPI Number | 1396496212
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Entity Type | Organization
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Legal Business Name | KLUN BEHAVIORAL CARE LLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 21 PINE ST UNIT F
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City | CANTON
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State | MA
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Zip | 02021-3356
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Country | US
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Telephone | 617-863-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 316 SEA ST APT A
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City | HYANNIS
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State | MA
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Zip | 02601-4565
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Country | US
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Telephone | 617-863-0510
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Fax |
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Authorized Official
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Title or Position | OWNER / CLINICIAN
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Name | MR. DAVID W. KLUN JR.
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Credential | LMHC
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Telephone | 617-863-0510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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