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General NPI Number Information
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NPI Number | 1437651627
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Entity Type | Individual
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Provider Name | NICHOLAS BARRY KLEIN LADC, LP
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Gender | Male
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | U.S. NAVY MEDICINE READININESS AND TRAINING COMMAND FAMILY MEDICINE DEPARTMENT
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City | FPO
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State | AP
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Zip | 96350-9998
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Country | US
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Telephone | 315-243-8721
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 475 BOX 1478
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City | FPO
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State | AP
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Zip | 96350-1478
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Country | US
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Telephone |
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 302751
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP6676
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License Number State | MN
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