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General NPI Number Information
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NPI Number | 1548323280
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Entity Type | Individual
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Provider Name | SANDY ROBIN KLINE OD
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Gender | Female
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Dates
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Enumeration Date | 12/17/2006
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 7508 BELL BLVD APT 1P
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3403
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Country | US
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Telephone | 973-736-4498
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Fax | 973-574-8223
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Provider Business Mailing Address
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Address Line | 22 DALE DR
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City | WEST ORANGE
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State | NJ
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Zip | 07052-2006
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Country | US
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Telephone | 973-736-4498
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Fax | 973-574-8223
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4593
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4586
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6494P
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License Number State | PA
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