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General NPI Number Information
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NPI Number | 1447357959
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Entity Type | Individual
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Provider Name | JEFFREY B KLEIN DPM
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 36622 FIVE MILE RD STE 101
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City | LIVONIA
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State | MI
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Zip | 48154-1900
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Country | US
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Telephone | 734-542-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 500 STEPHENSON HWY STE 300
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City | TROY
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State | MI
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Zip | 48083-1118
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901400210
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License Number State | MI
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