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General NPI Number Information
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NPI Number | 1427341759
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Entity Type | Organization
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Legal Business Name | MATTHEW T KLINE MD PC
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 101 S BRYN MAWR AVE SUITE 200
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City | BRYN MAWR
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State | PA
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Zip | 19010
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Country | US
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Telephone | 610-527-9500
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Fax | 302-733-0452
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Provider Business Mailing Address
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Address Line | PO BOX 12870
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City | WILMINGTON
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State | DE
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Zip | 19850-2870
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Country | US
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Telephone | 302-733-0806
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Fax | 302-733-0854
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW T KLINE
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Credential | M.D.
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Telephone | 610-909-1917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD029145E
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License Number State | PA
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