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General NPI Number Information
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NPI Number | 1942257407
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Entity Type | Individual
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Provider Name | SCOTT H. KLEIMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 461 W HURON ST NOMC EMERCENCY CENTER
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City | PONTIAC
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State | MI
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Zip | 48341-1601
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Country | US
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Telephone | 248-857-7440
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Fax | 248-857-6992
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD STE 3D
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101011369
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License Number State | MI
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