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General NPI Number Information
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NPI Number | 1669774360
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Entity Type | Individual
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Provider Name | ELIZABETH S KLEIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 222 NEW RD STE 201
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City | LINWOOD
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State | NJ
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Zip | 08221-1281
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Country | US
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Telephone | 609-788-8593
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Fax | 609-904-6929
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Provider Business Mailing Address
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Address Line | 950 PULASKI DR STE 100
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2802
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Country | US
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Telephone | 610-768-5945
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Fax | 610-768-5947
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00249100
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License Number State | NJ
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