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General NPI Number Information
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NPI Number | 1912070749
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Entity Type | Individual
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Provider Name | THOMAS ROBERT KAPPELER MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 10920 WILSHIRE BLVD SUITE 150-9133
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City | LOS ANGELES
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State | CA
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Zip | 90024-6502
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Country | US
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Telephone | 310-824-3830
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Fax | 310-824-5776
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Provider Business Mailing Address
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Address Line | 886 HILGARD AVE # 301
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City | LOS ANGELES
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State | CA
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Zip | 90024-3155
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Country | US
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Telephone | 310-824-3830
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Fax | 310-824-5776
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CO34424
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License Number State | CA
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