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General NPI Number Information
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NPI Number | 1578976841
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Entity Type | Organization
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Legal Business Name | KLEIN DENTAL ASSOCIATES PC
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 2 BARLO CIR SUITE A
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City | DILLSBURG
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State | PA
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Zip | 17019-1630
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Country | US
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Telephone | 717-432-9762
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BARLO CIR SUITE A
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City | DILLSBURG
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State | PA
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Zip | 17019-1630
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Country | US
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Telephone | 717-432-9762
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | BARRY C KLEIN
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Credential | D.M.D.
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Telephone | 717-822-0294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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