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General NPI Number Information
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NPI Number | 1225448269
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Entity Type | Individual
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Provider Name | ROBERT JOHN KLOPP P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 425 DIAMOND DR STE 101
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4495
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Country | US
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Telephone | 951-674-9515
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Fax | 951-674-9517
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Provider Business Mailing Address
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Address Line | 31765 CANYON ESTATES DR
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-0415
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Country | US
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Telephone | 951-674-4543
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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 | PT 23542
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License Number State | CA
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