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General NPI Number Information
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NPI Number | 1811277460
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Entity Type | Organization
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Legal Business Name | KLAUS INFECTIOUS DISEASE LLC
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 08/26/2011
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Provider Practice Location Address
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Address Line | 837 PARK ST
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City | COLUMBUS
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State | OH
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Zip | 43215-1441
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Country | US
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Telephone | 614-578-3269
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Fax | 614-294-2325
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Provider Business Mailing Address
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Address Line | 837 PARK ST
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City | COLUMBUS
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State | OH
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Zip | 43215-1441
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Country | US
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Telephone | 614-578-3269
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Fax | 614-294-2325
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER KLAUS
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Credential | M.D.
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Telephone | 614-578-3269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35079518K
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License Number State | OH
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