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General NPI Number Information
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NPI Number | 1356371454
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Entity Type | Individual
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Provider Name | REBECCA JEAN KLOKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 3810 ROSIN CT STE 180
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City | SACRAMENTO
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State | CA
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Zip | 95834-1658
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Country | US
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Telephone | 765-969-9631
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Fax |
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Provider Business Mailing Address
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Address Line | 7956 GLENDA WAY
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City | SAN DIEGO
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State | CA
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Zip | 92126-2225
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Country | US
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Telephone | 765-969-9631
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01058972A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C145733
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License Number State | CA
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