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General NPI Number Information
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NPI Number | 1497740419
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Entity Type | Individual
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Provider Name | LARRY J KLEEFELD D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 604 H ST
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City | ARCATA
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State | CA
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Zip | 95521-6342
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Country | US
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Telephone | 707-822-5188
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Fax | 707-822-8465
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Provider Business Mailing Address
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Address Line | 604 H ST
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City | ARCATA
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State | CA
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Zip | 95521-6342
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Country | US
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Telephone | 707-822-5188
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Fax | 707-822-8465
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11606
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License Number State | CA
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