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General NPI Number Information
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NPI Number | 1609665207
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Entity Type | Organization
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Legal Business Name | KLEIN MEDICAL SERVICES
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 3930 RICHMOND AVE STE 104
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5103
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Country | US
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Telephone | 718-957-1342
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Fax |
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Provider Business Mailing Address
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Address Line | 102 SHADYSIDE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRA A KLEIN
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Credential |
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Telephone | 201-842-3978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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