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General NPI Number Information
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NPI Number | 1326995523
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Entity Type | Organization
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Legal Business Name | COOPER FAMILY CARE LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 181 S COIT ST
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City | FLORENCE
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State | SC
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Zip | 29501-4419
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Country | US
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Telephone | 843-318-2891
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LOWER WAVERLY RD
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-5879
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Country | US
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Telephone | 843-318-2891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GARY CLEMONS COOPER JR.
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Credential |
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Telephone | 843-318-2891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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