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General NPI Number Information
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NPI Number | 1396965752
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Entity Type | Organization
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Legal Business Name | CHRIS KLEIN OTR PLC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 805 MITCHELL ST
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City | LAKE CITY
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State | MI
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Zip | 49651
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Country | US
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Telephone | 231-920-7223
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Fax | 231-839-0092
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | CADILLAC
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State | MI
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Zip | 49601-0384
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Country | US
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Telephone | 231-775-6076
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Fax | 231-775-0027
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE KLEIN
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Credential | OTR
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Telephone | 231-920-7223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201002814
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License Number State | MI
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