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General NPI Number Information
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NPI Number | 1598847584
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Entity Type | Individual
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Provider Name | PATRICIA NORRIS-KOEPCKE NP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 2777 LONG BEACH BLVD SUITE 200
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City | LONG BEACH
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State | CA
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Zip | 90806-1571
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Country | US
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Telephone | 562-426-9661
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Fax | 562-426-4227
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Provider Business Mailing Address
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Address Line | PO BOX 10818
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-0818
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Country | US
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Telephone | 909-382-0201
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Fax | 909-382-0210
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2149
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License Number State | CA
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