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General NPI Number Information
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NPI Number | 1609382860
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Entity Type | Organization
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Legal Business Name | DR DANIEL MEIR KLEIN DDS, APC
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Dates
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Enumeration Date | 12/22/2017
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Last Update Date | 12/22/2017
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Provider Practice Location Address
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Address Line | 5001 WILSHIRE BLVD STE 209
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City | LOS ANGELES
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State | CA
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Zip | 90036-6104
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Country | US
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Telephone | 323-471-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 WILSHIRE BLVD STE 209
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City | LOS ANGELES
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State | CA
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Zip | 90036-6104
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Country | US
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Telephone | 323-471-4250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL KLEIN
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Credential | DDS
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Telephone | 323-471-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 62504
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License Number State | CA
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