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NPI Code Detail

MEDICARE: PATRICIA CLEO KLOPFLEISCH ADCIP

MEDICARE: PATRICIA CLEO KLOPFLEISCH ADCIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1326891946
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA CLEO KLOPFLEISCH ADCIP
Provider Business Mailing Address
First Line : 207 MASON CROFT DR
Second Line :
City : SUMTER
State : SC
Zip : 29150-4015
Country : US
Telephone Number : 803-406-2177
Fax Number :
Provider Business Practice Location Address
First Line : 755 ELECTRIC DR
Second Line :
City : SUMTER
State : SC
Zip : 29153-1933
Country : US
Telephone Number : 803-905-5147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2024
Last Update Date : 04/18/2024

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Directions to “ PATRICIA CLEO KLOPFLEISCH ADCIP” Practice Location

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