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General NPI Number Information
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NPI Number | 1134409089
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Entity Type | Individual
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Provider Name | ANDREA KLOPP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 5330 CENTURY AVE
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City | MIDDLETON
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State | WI
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Zip | 53562-2007
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Country | US
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Telephone | 608-203-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 22 APPOMATTOX CT
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City | MADISON
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State | WI
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Zip | 53705-4202
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Country | US
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Telephone | 608-213-9495
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11815-024
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License Number State | WI
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