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General NPI Number Information
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NPI Number | 1396749818
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Entity Type | Individual
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Provider Name | ROBERT J. KLEINHANS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 01/31/2015
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Provider Practice Location Address
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Address Line | 5737 BARNHILL DR STE 102 CREDENTIALING DEPARTMENT
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City | JACKSONVILLE
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State | FL
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Zip | 32207-7189
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Country | US
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Telephone | 904-739-3319
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Fax | 904-448-1416
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Provider Business Mailing Address
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Address Line | PO BOX 40767 CREDENTIALING DEPARTMENT
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City | JACKSONVILLE
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State | FL
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Zip | 32203-0767
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Country | US
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Telephone | 904-376-3707
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Fax | 904-391-5807
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME29023
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME29023
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License Number State | FL
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