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General NPI Number Information
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NPI Number | 1417629403
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Entity Type | Individual
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Provider Name | MELINDA MARIE COOPER FNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1741 DUAL HWY
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6624
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Country | US
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Telephone | 301-337-7749
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Fax |
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Provider Business Mailing Address
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Address Line | 11217 KARLI LN
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City | BILOXI
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State | MS
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Zip | 39532-8026
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Country | US
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Telephone | 228-257-9289
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024188012
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 117249
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | PA066069
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2386999
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC005797
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904864
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License Number State | MS
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