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General NPI Number Information
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NPI Number | 1417104209
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Entity Type | Individual
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Provider Name | SANDRA COOPER CNP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 400 BROAD ST STE 1006
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City | SEWICKLEY
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State | PA
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Zip | 15143-1500
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Country | US
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Telephone | 330-591-2444
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Fax | 833-740-3510
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Provider Business Mailing Address
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Address Line | PO BOX 62
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City | WADSWORTH
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State | OH
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Zip | 44282-0062
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Country | US
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Telephone | 330-591-2444
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Fax | 833-740-3510
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | RN543749
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 024344
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License Number State | OH
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