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General NPI Number Information
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NPI Number | 1154503373
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Entity Type | Organization
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Legal Business Name | HAROLD COPANS MD INC
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 5555 RESERVOIR DRIVE SUITE 112
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City | SAN DIEGO
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State | CA
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Zip | 92120-5195
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Country | US
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Telephone | 619-287-7060
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Fax | 619-287-7078
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Provider Business Mailing Address
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Address Line | 5555 RESERVOIR DRIVE SUITE 112
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City | SAN DIEGO
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State | CA
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Zip | 92120-5195
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Country | US
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Telephone | 619-287-7060
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Fax | 619-287-7078
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Authorized Official
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Title or Position | PHYSICIAN PRESIDENT OWNER
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Name | MR. HAROLD COPANS
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Credential | MD
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Telephone | 619-287-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A37193
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License Number State | CA
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