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General NPI Number Information
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NPI Number | 1649697541
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Entity Type | Individual
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Provider Name | MATTHEW RICHARD KLEIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 593 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02903-4923
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Country | US
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Telephone | 401-444-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 55 CLAVERICK ST FL 2
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City | PROVIDENCE
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State | RI
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Zip | 02903-4144
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Country | US
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Telephone |
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 125065187
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036.145456
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD19141
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License Number State | RI
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