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General NPI Number Information
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NPI Number | 1306872924
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Entity Type | Organization
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Legal Business Name | COOPER PSYCHOLOGICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 4949 LIBERTY LN SUITE 5
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City | WESCOSVILLE
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State | PA
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Zip | 18106-9014
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Country | US
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Telephone | 610-821-9422
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Fax | 610-820-6308
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Provider Business Mailing Address
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Address Line | 4949 LIBERTY LANE SUITE 5
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City | WESCOSVILLE
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State | PA
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Zip | 18106-9017
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Country | US
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Telephone | 610-821-9422
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Fax | 610-820-6308
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JANICE MARION COOPER
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Credential |
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Telephone | 610-821-9422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS 001285-L
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License Number State | PA
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