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General NPI Number Information
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NPI Number | 1134065691
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Entity Type | Individual
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Provider Name | MARCIA COOPER
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 12501 PROSPERITY DR STE 100
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City | SILVER SPRING
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State | MD
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Zip | 20904-1647
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Country | US
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Telephone | 301-681-6730
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Fax | 301-681-4268
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Provider Business Mailing Address
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Address Line | 8110 MISSISSIPPI RD
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City | LAUREL
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State | MD
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Zip | 20724-6123
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Country | US
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Telephone | 240-601-0121
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | R166094
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License Number State | MD
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