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General NPI Number Information
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NPI Number | 1225843600
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Entity Type | Individual
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Provider Name | MIRANDA COPE AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 310 PENSACOLA RD
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City | BURNSVILLE
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State | NC
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Zip | 28714-3318
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Country | US
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Telephone | 828-682-9759
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1153
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City | MARION
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State | NC
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Zip | 28752-1153
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Country | US
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Telephone | 828-775-8550
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5021710
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License Number State | NC
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