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General NPI Number Information
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NPI Number | 1720274558
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Entity Type | Organization
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Legal Business Name | LEE ANN M KLAUSNER MD PLLC
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 122 E 78TH ST SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10075-0312
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Country | US
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Telephone | 212-288-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 175 E 79TH ST SUITE 15A
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City | NEW YORK
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State | NY
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Zip | 10075-0432
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Country | US
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Telephone | 212-288-1011
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LEE ANN M KLAUSNER
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Credential | MD
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Telephone | 212-288-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 215036
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License Number State | NY
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