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General NPI Number Information
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NPI Number | 1437338183
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Entity Type | Organization
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Legal Business Name | DANIEL G. KLINE, DDS, PC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 2470 W RAY RD SUITE #1
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City | CHANDLER
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State | AZ
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Zip | 85224-3557
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Country | US
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Telephone | 480-899-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 W RAY RD SUITE #1
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City | CHANDLER
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State | AZ
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Zip | 85224-3557
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Country | US
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Telephone | 480-899-5240
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL GEORGE KLINE
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Credential | DDS
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Telephone | 480-899-5240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2394
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License Number State | AZ
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