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General NPI Number Information
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NPI Number | 1033475488
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Entity Type | Individual
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Provider Name | ANDREA COOPER LPC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 2029 P ST NW SUITE 202
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City | WASHINGTON
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State | DC
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Zip | 20036-5948
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Country | US
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Telephone | 703-709-5668
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 SAMANTHA LN APT 404
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City | ODENTON
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State | MD
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Zip | 21113-3932
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Country | US
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Telephone | 703-609-5668
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004039
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC14178
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC4861
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License Number State | MD
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