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General NPI Number Information
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NPI Number | 1871624569
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Entity Type | Organization
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Legal Business Name | JAMES R KOPP M.D., P.C.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 710 SUNSET DR STE E
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City | LA GRANDE
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State | OR
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Zip | 97850-1200
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Country | US
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Telephone | 541-963-9843
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Fax | 541-963-8746
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Provider Business Mailing Address
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Address Line | 710 SUNSET DR STE E
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City | LA GRANDE
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State | OR
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Zip | 97850-1200
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Country | US
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Telephone | 541-963-9843
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Fax | 541-963-8746
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES ROBERT KOPP
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Credential | M.D.
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Telephone | 541-963-9843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD09796
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License Number State | OR
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