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General NPI Number Information
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NPI Number | 1639449374
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Entity Type | Organization
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Legal Business Name | DOROTHY KLEIN, M.D., INC.
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 7935 WESTLAWN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-1071
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Country | US
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Telephone | 310-431-9507
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Fax | 310-431-9507
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Provider Business Mailing Address
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Address Line | 7935 WESTLAWN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-1071
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Country | US
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Telephone | 310-431-9507
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Fax | 310-431-9507
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY KLEIN
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Credential | M.D.
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Telephone | 310-431-9507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A93473
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License Number State | CA
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