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General NPI Number Information
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NPI Number | 1043624232
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Entity Type | Individual
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Provider Name | JENNIFER AFTON COOPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 5 SAINT VINCENT CIR STE 300
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5417
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Country | US
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Telephone | 501-552-8800
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Fax | 501-552-5343
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7201
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Country | US
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Telephone | 214-645-3838
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | E-14916
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | V4899
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License Number State | TX
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