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General NPI Number Information
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NPI Number | 1639477565
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Entity Type | Organization
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Legal Business Name | FREDRIC B. KLEINER, PH.D. & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 4401 E WEST HWY SUITE 307
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City | BETHESDA
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State | MD
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Zip | 20814-4523
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Country | US
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Telephone | 301-652-2120
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Fax | 301-657-9224
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Provider Business Mailing Address
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Address Line | 4401 E WEST HWY SUITE 307
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City | BETHESDA
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State | MD
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Zip | 20814-4523
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Country | US
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Telephone | 301-652-2120
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Fax | 301-657-9224
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDRIC BARRY KLEINER
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Credential | PH.D.
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Telephone | 301-652-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 00640
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License Number State | MD
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