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General NPI Number Information
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NPI Number | 1306807938
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Entity Type | Individual
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Provider Name | ROGER COOPER MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 268 MARTIN LUTHER KING JR BLVD ST MICHAEL INFECTIOUS DISEASE
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City | NEWARK
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State | NJ
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Zip | 07102-2011
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Country | US
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Telephone | 973-877-2586
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Fax | 973-877-2661
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Provider Business Mailing Address
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Address Line | PO BOX 36 ST MICHAEL INFECTIOUS DISEASE
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City | ROSELAND
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State | NJ
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Zip | 07068-0036
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Country | US
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Telephone | 973-877-2586
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Fax | 973-877-2661
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA35197
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License Number State | NJ
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