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General NPI Number Information
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NPI Number | 1447649645
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Entity Type | Individual
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Provider Name | SARINA MICHELLE KOPINSKY MS, CGC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD GENETICS LEVY 2 WEST
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-8726
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Fax |
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Provider Business Mailing Address
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Address Line | 118 MONTGOMERY AVE APT A2-2
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2950
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Country | US
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Telephone | 303-601-7690
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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