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General NPI Number Information
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NPI Number | 1811045545
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Entity Type | Individual
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Provider Name | KLAUS WILLY BEPLAT MPT
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 907-714-4725
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2191
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City | KENAI
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State | AK
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Zip | 99611-2191
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Country | US
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Telephone | 907-250-2197
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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 | 1673
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License Number State | AK
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