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General NPI Number Information
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NPI Number | 1750603551
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Entity Type | Organization
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Legal Business Name | FALLON-KLINE FOOT & ANKLE ASSOCIATES
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 2591 BAGLYOS CIR C 53
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City | BETHLEHEM
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State | PA
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Zip | 18020-8043
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Country | US
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Telephone | 484-544-5044
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Fax | 484-544-8955
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Provider Business Mailing Address
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Address Line | 2591 BAGLYOS CIR C 53
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City | BETHLEHEM
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State | PA
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Zip | 18020-8043
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Country | US
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Telephone | 484-544-5044
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Fax | 484-544-8955
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Authorized Official
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Title or Position | CEO
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Name | DR. KEVIN FALLON KLINE
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Credential | DPM
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Telephone | 484-597-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC005941
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License Number State | PA
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