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General NPI Number Information
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NPI Number | 1477696763
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Entity Type | Organization
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Legal Business Name | KLM PROSTHETICS INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 2503 CARMEL AVE UNIT 203
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City | BREWSTER
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State | NY
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Zip | 10509
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Country | US
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Telephone | 203-343-3284
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Fax | 203-304-9916
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Provider Business Mailing Address
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Address Line | 28 RIDGE RD
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City | NEWTOWN
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State | CT
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Zip | 06470
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Country | US
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Telephone | 203-343-3284
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Fax | 203-304-9916
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. DAVID ARTHUR KOEHLER
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Credential |
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Telephone | 205-343-3284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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