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General NPI Number Information
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NPI Number | 1043854094
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Entity Type | Individual
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Provider Name | JAMI ANN COOPER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/03/2019
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 300 N JOHN REDDITT DR STE 1
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City | LUFKIN
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State | TX
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Zip | 75904-2634
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Country | US
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Telephone | 936-899-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 1841 COOPER RD
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City | ZAVALLA
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State | TX
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Zip | 75980-7407
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Country | US
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Telephone | 936-676-3324
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1321345
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License Number State | TX
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