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General NPI Number Information
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NPI Number | 1710033345
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Entity Type | Organization
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Legal Business Name | JEFF KLEIN DPM PC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 901 DAVIDSON ST NW
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City | ELKADER
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State | IA
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Zip | 52043-9015
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Country | US
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Telephone | 866-228-1060
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Fax | 866-228-1060
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | WORTHINGTON
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State | IA
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Zip | 52078-0066
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Country | US
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Telephone | 866-228-1060
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Fax | 866-228-1060
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Authorized Official
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Title or Position | OWNER
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Name | JEFF A KLEIN
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Credential | D.P.M.
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Telephone | 866-228-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 00540
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00540
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License Number State | IA
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