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General NPI Number Information
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NPI Number | 1053688531
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Entity Type | Individual
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Provider Name | DENNIS WILLIAM KORPMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 800 S AIRPORT BLVD BLD 49 MOC UNITED AIRLINES MEDICAL DEPARTMENT
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City | SAN FRANCISCO
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State | CA
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Zip | 94128
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Country | US
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Telephone | 650-634-4931
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Fax |
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Provider Business Mailing Address
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Address Line | 3123 QUIET HILLS DR
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City | ESCONDIDO
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State | CA
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Zip | 92029-7305
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Country | US
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Telephone | 650-634-4931
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G49335
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | ME40348
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License Number State | FL
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