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General NPI Number Information
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NPI Number | 1548374572
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Entity Type | Individual
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Provider Name | DON G KOEPSELL MD PHD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1220 VALLEY FORGE RD SUITE 39
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City | VALLEY FORGE
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State | PA
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Zip | 19482-0608
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Country | US
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Telephone | 610-935-1211
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Fax | 610-935-2355
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Provider Business Mailing Address
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Address Line | 1220 VALLEY FORGE RD SUITE 39 PO BOX 608
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City | VALLEY FORGE
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State | PA
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Zip | 19482-0608
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Country | US
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Telephone | 610-935-1211
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Fax | 610-935-2355
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD024428E
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License Number State | PA
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