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General NPI Number Information
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NPI Number | 1053364232
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Entity Type | Individual
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Provider Name | ROBERT KOPEC M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 3231 MCMULLEN BOOTH RD
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6607
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Country | US
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Telephone | 727-725-6526
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Fax | 727-266-4931
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Provider Business Mailing Address
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Address Line | PO BOX 10744
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City | CLEARWATER
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State | FL
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Zip | 33757-8744
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Country | US
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Telephone | 727-532-0002
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME0092699
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME92699
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License Number State | FL
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