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General NPI Number Information
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NPI Number | 1306276704
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Entity Type | Organization
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Legal Business Name | WILLIAM J KOPELMAN INC
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 3010 W ORANGE AVE SUITE 503
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City | ANAHEIM
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State | CA
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Zip | 92804-3169
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Country | US
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Telephone | 714-821-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 BARCLAY ST
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City | LOS ANGELES
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State | CA
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Zip | 90031-1204
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM JOSEPH KOPELMAN
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Credential | M.D.
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Telephone | 323-423-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | C53462
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License Number State | CA
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