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General NPI Number Information
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NPI Number | 1689471302
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Entity Type | Individual
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Provider Name | ROBERT JAMES HEPP
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Gender | Male
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 12550 HESPERIA RD STE 220
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City | VICTORVILLE
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State | CA
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Zip | 92395-5873
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Country | US
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Telephone | 760-596-0870
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Fax | 760-278-4769
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Provider Business Mailing Address
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Address Line | 12550 HESPERIA RD STE 220
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City | VICTORVILLE
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State | CA
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Zip | 92395-5873
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Country | US
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Telephone | 760-596-0870
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Fax | 760-278-4769
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 11753
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License Number State | CA
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