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General NPI Number Information
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NPI Number | 1528071172
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Entity Type | Individual
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Provider Name | JOHN KLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 4201 S LOOP 256
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City | PALESTINE
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State | TX
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Zip | 75801-8476
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Country | US
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Telephone | 903-723-8533
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 S LOOP 256
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City | PALESTINE
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State | TX
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Zip | 75801-8476
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Country | US
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Telephone | 903-723-8533
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L5794
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License Number State | TX
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