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General NPI Number Information
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NPI Number | 1861600660
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Entity Type | Individual
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Provider Name | DEBRA ANNE HOPKINS RPT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 2416 SOUTH MAIN ST
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City | MARYVILLE
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State | MO
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Zip | 64468
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Country | US
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Telephone | 660-582-3768
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Fax | 660-582-2807
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Provider Business Mailing Address
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Address Line | 15 LINDENWOOD LANE
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City | ST JOSEPH
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State | MO
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Zip | 64505-1834
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Country | US
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Telephone | 816-390-8547
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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 | MO101401
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License Number State | MO
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