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General NPI Number Information
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NPI Number | 1174467039
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Entity Type | Individual
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Provider Name | MICHELE I COOPER
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 30A VREELAND RD STE 230B
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1924
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Country | US
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Telephone | 908-208-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FINERAN WAY APT 445
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City | SHORT HILLS
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State | NJ
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Zip | 07078-2648
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Country | US
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Telephone | 917-859-7721
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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