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General NPI Number Information
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NPI Number | 1063556389
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Entity Type | Individual
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Provider Name | ADAM C. COOPER APN, RNC
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 133 W 2ND AVE
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City | ONEIDA
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State | TN
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Zip | 37841-2023
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Country | US
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Telephone | 423-569-7979
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Fax | 423-569-2901
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Provider Business Mailing Address
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Address Line | PO BOX 5454
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City | ONEIDA
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State | TN
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Zip | 37841-5441
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Country | US
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Telephone | 423-569-3383
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Fax | 423-569-2901
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 111375
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN0000012824
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License Number State | TN
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