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General NPI Number Information
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NPI Number | 1700908761
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Entity Type | Individual
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Provider Name | BRIAN ANTHONY KLOPPENBERG L.P.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 920 BROADWAY 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-6004
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Country | US
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Telephone | 917-771-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 155 W 20TH ST #3K
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City | NEW YORK
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State | NY
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Zip | 10011-3610
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Country | US
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Telephone | 212-924-7436
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Fax | 212-924-6875
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 000613-1
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License Number State | NY
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