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General NPI Number Information
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NPI Number | 1447437983
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Entity Type | Organization
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Legal Business Name | BETH KLEIN PHD LLC
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 1625 N COMMERCE PKWY SUITE 200
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City | WESTON
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State | FL
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Zip | 33326-3216
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Country | US
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Telephone | 954-423-4231
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Fax |
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Provider Business Mailing Address
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Address Line | 20421 SW 51ST ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33332-1565
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Country | US
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Telephone | 954-423-4231
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BETH KLEIN
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Credential | PH.D.
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Telephone | 954-423-4231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5943
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License Number State | FL
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