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General NPI Number Information
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NPI Number | 1376662122
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Entity Type | Organization
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Legal Business Name | JOSEPH COOPER M.D. INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 MATTHEW ST STE 100 MARIETTA MEMORIAL HOSPITAL
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City | MARIETTA
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State | OH
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Zip | 45750-1656
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Country | US
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Telephone | 740-374-4902
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Fax | 740-374-4941
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Provider Business Mailing Address
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Address Line | 400 MATTHEW ST STE 100 MARIETTA MEMORIAL HOSPITAL
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City | MARIETTA
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State | OH
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Zip | 45750-1656
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Country | US
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Telephone | 740-374-4902
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Fax | 740-374-4941
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Authorized Official
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Title or Position | PHYSIIAN
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Name | JOSEPH DAVID COOPER
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Credential | M.D.
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Telephone | 740-374-4902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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