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General NPI Number Information
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NPI Number | 1932200755
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Entity Type | Individual
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Provider Name | JENNIFER H KLEIN MD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 6350 STEVENS FOREST RD STE 105 SUITE 134
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City | COLUMBIA
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State | MD
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Zip | 21046-3255
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Country | US
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Telephone | 443-259-3770
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Fax | 443-259-3711
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Provider Business Mailing Address
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Address Line | 9613 HARFORD RD STE 134
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City | PARKVILLE
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State | MD
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Zip | 21234-2150
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Country | US
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Telephone | 443-461-6767
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Fax | 443-259-3711
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0055637
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License Number State | MD
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