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General NPI Number Information
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NPI Number | 1528228533
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Entity Type | Individual
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Provider Name | MR. ROBERT KLEIN
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 77 JACKSON AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-3140
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Country | US
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Telephone | 914-472-3200
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Fax | 914-472-5443
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Provider Business Mailing Address
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Address Line | 77 JACKSON AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-3140
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Country | US
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Telephone | 914-472-3200
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Fax | 914-472-5443
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 5910300N
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License Number State | NY
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