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General NPI Number Information
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NPI Number | 1225246564
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Entity Type | Organization
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Legal Business Name | BRIAN KOPER,DO,LLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1421 S POTOMAC ST SUITE 200
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City | AURORA
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State | CO
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Zip | 80012-4535
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Country | US
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Telephone | 303-695-1304
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Fax | 303-534-0393
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Provider Business Mailing Address
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Address Line | 1421 S POTOMAC ST SUITE 200
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City | AURORA
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State | CO
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Zip | 80012-4535
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Country | US
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Telephone | 303-695-1304
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Fax | 303-534-0393
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN M KOPER
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Credential | DO
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Telephone | 303-695-1304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 45431
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License Number State | CO
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