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General NPI Number Information
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NPI Number | 1962632976
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Entity Type | Organization
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Legal Business Name | LM KLINE ENTERPRISES LLC
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 720 N STATE ST
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City | WESTERVILLE
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State | OH
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Zip | 43082-9084
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Country | US
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Telephone | 614-890-3668
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Fax | 614-890-3690
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Provider Business Mailing Address
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Address Line | 720 N STATE ST
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City | WESTERVILLE
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State | OH
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Zip | 43082-9084
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Country | US
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Telephone | 614-890-3668
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Fax | 614-890-3690
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Authorized Official
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Title or Position | OWNER / CERTIFIED PEDORTHIST
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Name | LINDA M KLINE
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Credential | C. PED.
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Telephone | 614-890-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | LPED 180
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License Number State | OH
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