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General NPI Number Information
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NPI Number | 1265507354
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Entity Type | Organization
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Legal Business Name | SUSAN A. COPE, D.D.S.,P.A.
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9003 ROE AVE
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-2202
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Country | US
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Telephone | 913-385-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 9003 ROE AVE
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66207-2202
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Country | US
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Telephone | 913-385-9003
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JANICE DEAN
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Credential |
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Telephone | 913-385-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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