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General NPI Number Information
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NPI Number | 1720260920
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Entity Type | Individual
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Provider Name | ERIC NEIL KLEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 1999 MARCUS AVE SUITE 106C
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1033
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Country | US
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Telephone | 516-233-3601
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Fax | 516-562-1521
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Provider Business Mailing Address
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Address Line | 300 COMMUNITY DR DEPARTMENT OF SURGERY
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City | MANHASSET
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State | NY
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Zip | 11030-3816
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Country | US
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Telephone | 516-562-2992
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Fax | 516-562-1576
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 053199
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 250534
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 249935
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License Number State | NY
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