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General NPI Number Information
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NPI Number | 1093176539
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Entity Type | Individual
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Provider Name | EMILY JOANNE COOPER NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 50 N PROGRESS DR
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City | XENIA
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State | OH
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Zip | 45385-2666
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Country | US
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Telephone | 937-562-2280
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Fax | 937-562-2282
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Provider Business Mailing Address
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Address Line | 50 N PROGRESS DR
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City | XENIA
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State | OH
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Zip | 45385-2666
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Country | US
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Telephone | 937-562-2280
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Fax | 937-562-2282
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.18716-NP
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License Number State | OH
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