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NPI 1467756809

NPI 1467756809 : FRANK T KLIMA APRN-BC : FREDERICKTOWN, MO

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General NPI Number Information
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    NPI Number           |    1467756809
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK T KLIMA APRN-BC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/28/2010
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    Last Update Date     |    01/12/2011
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Provider Practice Location Address
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    Address Line         |    735 W MAIN ST 
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    City                 |    FREDERICKTOWN
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    State                |    MO
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    Zip                  |    63645-1113
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    Country              |    US
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    Telephone            |    573-783-8875
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    Fax                  |    573-783-8890
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Provider Business Mailing Address
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    Address Line         |    735 W MAIN ST 
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    City                 |    FREDERICKTOWN
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    State                |    MO
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    Zip                  |    63645-1113
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    Country              |    US
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    Telephone            |    573-783-8875
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    Fax                  |    573-783-8890
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    2001019026
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    License Number State |    MO
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