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General NPI Number Information
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NPI Number | 1326451568
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Entity Type | Individual
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Provider Name | RYAN COOPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 6000 W HIGHWAY 98
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City | PENSACOLA
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State | FL
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Zip | 32512-0001
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Country | US
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Telephone | 850-505-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 ALTA VISTA RD
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City | BETHESDA
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State | MD
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Zip | 20814-5705
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Country | US
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Telephone | 208-409-1282
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101258858
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 0101258858
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101258858
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License Number State | VA
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