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General NPI Number Information
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NPI Number | 1063941383
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Entity Type | Individual
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Provider Name | JOSEPH BENJAMIN COOPER MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1218 N DIVISION AVE STE 208
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City | SANDPOINT
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State | ID
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Zip | 83864-5054
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Country | US
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Telephone | 208-263-3091
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Fax | 208-263-3147
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Provider Business Mailing Address
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Address Line | 1218 N DIVISION AVE STE 208
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City | SANDPOINT
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State | ID
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Zip | 83864-5054
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Country | US
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Telephone | 208-263-3091
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Fax | 208-263-3147
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MC-2534
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MC-2534
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MC-2534
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License Number State | ID
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