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General NPI Number Information
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NPI Number | 1598864613
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Entity Type | Organization
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Legal Business Name | KLINE & BOYD OPTOMETRISTS PLLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 41 S WESTERN AVE
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City | GLENS FALLS
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State | NY
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Zip | 12801-3313
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Country | US
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Telephone | 518-792-2345
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Fax | 518-792-1361
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Provider Business Mailing Address
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Address Line | 41 S WESTERN AVE
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City | GLENS FALLS
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State | NY
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Zip | 12801-3313
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Country | US
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Telephone | 518-792-2345
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Fax | 518-792-1361
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ROY A KLINE
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Credential | O.D.
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Telephone | 518-792-2345
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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 | TUV003653-1
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License Number State | NY
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