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General NPI Number Information
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NPI Number | 1932827011
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Entity Type | Individual
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Provider Name | JONATHAN KLAYMAN
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Gender | Male
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 201 MANNING ST
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City | HUDSON
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State | MA
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Zip | 01749-1031
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Country | US
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Telephone | 978-567-6210
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Fax |
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Provider Business Mailing Address
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Address Line | 84 MILL POND
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-2902
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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