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General NPI Number Information
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NPI Number | 1003016130
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Entity Type | Organization
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Legal Business Name | COOPER & COOPER, PSC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 1005 W COLUMBIA ST
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City | SOMERSET
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State | KY
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Zip | 42503-2720
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Country | US
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Telephone | 606-679-1166
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Fax | 606-679-1167
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Provider Business Mailing Address
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Address Line | PO BOX 3334
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City | WEST SOMERSET
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State | KY
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Zip | 42564-3334
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Country | US
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Telephone | 606-679-1166
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Fax | 606-679-1167
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD O COOPER
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Credential | D.C.
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Telephone | 606-679-1166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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