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General NPI Number Information
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NPI Number | 1235540154
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Entity Type | Individual
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Provider Name | SHONTREAL MONIQUE COOPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 25 MICHIGAN ST NE STE 5200
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2572
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Country | US
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Telephone | 616-391-3681
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MICHIGAN ST NE # MC845
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MT208438
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 063562
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME162074
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 063562
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 4301509050
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 35C.002283
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | V1667
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 35C.002283
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301509050
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License Number State | MI
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