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General NPI Number Information
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NPI Number | 1962502500
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Entity Type | Organization
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Legal Business Name | KLESMIT CHIROPRACTIC OFFICES, P.A.
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1441 FOREST LN
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City | GARLAND
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State | TX
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Zip | 75042-7935
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Country | US
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Telephone | 972-276-7800
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Fax | 972-494-0958
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Provider Business Mailing Address
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Address Line | 1441 FOREST LN
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City | GARLAND
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State | TX
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Zip | 75042-7935
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Country | US
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Telephone | 972-276-7800
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Fax | 972-494-0958
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANN BEATRICE KLESMIT
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Credential | B.S.N., D.C.
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Telephone | 972-276-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4349
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License Number State | TX
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