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General NPI Number Information
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NPI Number | 1528151115
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Entity Type | Individual
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Provider Name | KATHLEEN ELIZABETH KLINE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 2126 CRIMSON LAKE LN
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5339
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Country | US
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Telephone | 832-932-0358
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 SOUTHWEST FWY STE 100
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City | HOUSTON
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State | TX
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Zip | 77074-1523
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Country | US
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Telephone | 832-932-0358
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I-0000239
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36747
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License Number State | TX
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