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General NPI Number Information
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NPI Number | 1932161973
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Entity Type | Organization
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Legal Business Name | KLEIMAN OPTICAL SHOP, L.P.
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3025 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2902
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Country | US
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Telephone | 817-784-0222
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Fax | 817-417-0981
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Provider Business Mailing Address
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Address Line | 3025 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2902
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Country | US
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Telephone | 817-784-0222
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Fax | 817-417-0981
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. DAVID A KLEIMAN
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Credential | M.D.
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Telephone | 817-784-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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