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General NPI Number Information
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NPI Number | 1376836205
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Entity Type | Individual
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Provider Name | ANTHONY JOHN COPPOLA DO
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Gender | Male
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 540 LITCHFIELD ST
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City | TORRINGTON
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State | CT
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Zip | 06790-6679
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Country | US
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Telephone | 860-496-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY HHC-CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.011333
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | H0080009
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 63633
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License Number State | CT
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