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General NPI Number Information
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NPI Number | 1336064450
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Entity Type | Individual
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Provider Name | HEATHER DAWN KOPLIN RN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 5801 EDWARDS RANCH RD STE 200
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City | FORT WORTH
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State | TX
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Zip | 76109-4130
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Country | US
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Telephone | 817-870-5080
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Fax |
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Provider Business Mailing Address
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Address Line | 5614 OAKS LN
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City | WESTWORTH VILLAGE
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State | TX
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Zip | 76114-1484
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Country | US
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Telephone |
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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 | 163WS0121X
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Taxonomy Name | Plastic Surgery Registered Nurse
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License Number | 7669167-3102
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License Number State | UT
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