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General NPI Number Information
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NPI Number | 1255238200
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Entity Type | Individual
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Provider Name | VICTORIA R COPELAND CNA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2026
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Last Update Date | 10/22/2026
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Provider Practice Location Address
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Address Line | 1350 HICKORY ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3224
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Country | US
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Telephone | 321-434-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5875 PINE SAP AVE
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City | GRANT VALKARIA
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State | FL
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Zip | 32949-8222
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Country | US
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Telephone | 425-442-0739
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | CNA428412
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License Number State | FL
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