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NPI 1679964506

NPI 1679964506 : MORGAN E LOPKER PT, DPT : THOUSAND OAKS, CA

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General NPI Number Information
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    NPI Number           |    1679964506
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    Entity Type          |    Individual 
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    Provider Name        |    MORGAN E LOPKER PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/13/2015
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    Last Update Date     |    06/01/2022
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Provider Practice Location Address
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    Address Line         |    215 W JANSS RD 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91360-1847
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    Country              |    US
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    Telephone            |    805-370-4514
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    647 CARDINAL RIDGE LN UNIT C 
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    City                 |    SIMI VALLEY
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    State                |    CA
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    Zip                  |    93065-7113
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    Country              |    US
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    Telephone            |    805-377-6344
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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       |    2970
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT292210
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    License Number State |    CA
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