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General NPI Number Information
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NPI Number | 1760797385
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Entity Type | Organization
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Legal Business Name | BETTY KLEIN, M.D., P.C.
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 57 NORTH ST STE. 415
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-794-0117
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Fax | 203-798-7048
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Provider Business Mailing Address
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Address Line | 57 NORTH ST STE. 415
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City | DANBURY
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State | CT
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Zip | 06810-5660
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Country | US
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Telephone | 203-794-0117
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Fax | 203-798-7048
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BETTY R KLEIN
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Credential | M.D.
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Telephone | 203-794-0117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 031764
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License Number State | CT
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