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General NPI Number Information
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NPI Number | 1386668606
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Entity Type | Individual
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Provider Name | DAVID KOOPERMAN MSW
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 5134 CURRY RD
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City | TRUMANSBURG
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State | NY
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Zip | 14886-9518
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Country | US
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Telephone | 607-272-1014
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Fax | 607-272-3547
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Provider Business Mailing Address
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Address Line | 5134 CURRY RD
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City | TRUMANSBURG
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State | NY
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Zip | 14886-9518
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Country | US
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Telephone | 607-387-3128
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Fax | 607-272-1014
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR018186-1
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License Number State | NY
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