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General NPI Number Information
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NPI Number | 1629073945
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Entity Type | Individual
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Provider Name | IRA A KLEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 8874 COMMERCE LOOP DR
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City | COLUMBUS
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State | OH
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Zip | 43240-2122
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Country | US
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Telephone | 614-271-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 10016 SUMMIT CANYON DR.
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City | LAS VEGAS
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State | NV
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Zip | 89144
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Country | US
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Telephone | 702-245-6979
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Fax | 702-947-4757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 16161
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA 69597
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1901351
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 16161
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License Number State | NV
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