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General NPI Number Information
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NPI Number | 1194823781
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Entity Type | Individual
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Provider Name | JEFFREY PROCOPIO PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 311 9TH ST N STE 101
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City | NAPLES
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State | FL
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Zip | 34102-5886
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Country | US
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Telephone | 239-624-4299
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Fax | 239-624-8856
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-598-4000
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9121105
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 01174
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License Number State | WV
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