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General NPI Number Information
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NPI Number | 1629261508
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Entity Type | Organization
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Legal Business Name | MARC B KLEIN DPM PA
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 7050 W PALMETTO PARK RD STE 18
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City | BOCA RATON
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State | FL
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Zip | 33433-3462
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Country | US
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Telephone | 561-447-7571
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Fax | 561-447-7574
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Provider Business Mailing Address
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Address Line | 7050 W. PALMETTO PARK ROAD #18
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 561-447-7571
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Fax | 561-447-7574
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JILL KLEIN
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Credential |
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Telephone | 561-447-7571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | PO1505
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License Number State | FL
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