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General NPI Number Information
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NPI Number | 1497893697
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Entity Type | Organization
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Legal Business Name | H. RAYMOND KLEIN, D.D.S., P.A.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 943 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5635
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Country | US
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Telephone | 904-743-2000
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Fax | 904-725-8569
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Provider Business Mailing Address
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Address Line | 943 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5635
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Country | US
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Telephone | 904-743-2000
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Fax | 904-725-8569
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Authorized Official
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Title or Position | PRES.
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Name | H. RAYMOND KLEIN
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Credential | D.D.S.
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Telephone | 904-743-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN3351
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License Number State | FL
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