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General NPI Number Information
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NPI Number | 1265506224
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Entity Type | Individual
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Provider Name | RONALD H COPE OD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 20928 N JOHN WAYNE PKWY STE C6
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City | MARICOPA
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State | AZ
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Zip | 85139-2924
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Country | US
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Telephone | 520-316-4388
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Fax | 520-316-4393
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Provider Business Mailing Address
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Address Line | 955 W SOUTHERN AVE STE 101
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City | MESA
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State | AZ
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Zip | 85210-4903
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Country | US
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Telephone | 480-961-1865
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Fax | 480-893-8172
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046 007909
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-002070
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License Number State | AZ
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