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General NPI Number Information
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NPI Number | 1417029448
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Entity Type | Organization
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Legal Business Name | COPE COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8050 E LAKESIDE PKWY
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City | TUCSON
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State | AZ
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Zip | 85730-1254
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Country | US
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Telephone | 520-584-5820
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Fax | 520-514-1514
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Provider Business Mailing Address
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Address Line | 1477 W COMMERCE CT
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City | TUCSON
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State | AZ
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Zip | 85746-6016
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Country | US
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Telephone | 520-792-3293
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Fax | 520-792-4336
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Authorized Official
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Title or Position | CEO
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Name | MR. RODNEY COOK
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Credential |
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Telephone | 520-792-3293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OTC6046
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | OTC6046
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | OTC6046
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | OTC6046
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | OTC6046
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License Number State | AZ
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