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NPI 1790248334

NPI 1790248334 : STEPHEN J KLEINE DO : APO, AE

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General NPI Number Information
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    NPI Number           |    1790248334
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN J KLEINE DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/10/2019
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    RAF LAKENHEATH 48 MDG/SGHC UNIT 5115
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    City                 |    APO
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    State                |    AE
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    Zip                  |    09461-5115
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    Country              |    US
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    Telephone            |    937-257-9926
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1202 MEDICAL CENTER DR 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28401-7307
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2025-01894
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    0102206698
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    License Number State |    VA
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