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NPI 1629344882

NPI 1629344882 : PATRICIA A KLEINHOLZ-OWENS M.D. : FORT MYERS, FL

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General NPI Number Information
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    NPI Number           |    1629344882
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA A KLEINHOLZ-OWENS M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/31/2012
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    11215 METRO PKWY BLDG 3 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33966-1206
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    Country              |    US
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    Telephone            |    239-208-2212
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    Fax                  |    502-489-5751
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Provider Business Mailing Address
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    Address Line         |    11215 METRO PKWY BLDG 3 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33966-1206
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    Country              |    US
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    Telephone            |    239-208-2212
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    Fax                  |    502-489-5751
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    ME160222
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    ME160222
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    TP075
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    54432
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    License Number State |    TN
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Taxonomy #5
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    2025036362
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    License Number State |    MO
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