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General NPI Number Information
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NPI Number | 1679103469
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Entity Type | Organization
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Legal Business Name | KLEINS OF ABERDEEN INC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 949 BEARDS HILL RD
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City | ABERDEEN
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State | MD
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Zip | 21001-1734
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Country | US
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Telephone | 410-272-3101
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 ROCK SPRING RD
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City | FOREST HILL
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State | MD
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Zip | 21050-2617
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Country | US
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Telephone | 410-420-8224
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Fax |
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | FRANK ROBERT HENDERSON
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Credential |
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Telephone | 410-420-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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