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General NPI Number Information
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NPI Number | 1619148608
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Entity Type | Organization
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Legal Business Name | THOMAS M. KLINE D.C.,P.A.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 11637 TERRACE DR SUITE 101
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City | WALDORF
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State | MD
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Zip | 20602-3706
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Country | US
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Telephone | 301-843-1156
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Fax | 301-843-5917
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Provider Business Mailing Address
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Address Line | 11637 TERRACE DR SUITE 101
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City | WALDORF
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State | MD
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Zip | 20602-3706
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Country | US
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Telephone | 301-843-1156
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Fax | 301-843-5917
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS KLINE
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Credential | D.C.
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Telephone | 301-843-1156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1197PT
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License Number State | MD
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