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General NPI Number Information
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NPI Number | 1447829973
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Entity Type | Individual
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Provider Name | ELIZABETH COOPER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/19/2021
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 800 3RD AVE FRNT A
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City | NEW YORK
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State | NY
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Zip | 10022-7604
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Country | US
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Telephone | 516-210-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 4392 S COVECREST DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-4008
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Country | US
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Telephone | 801-884-8588
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Fax | 947-203-2287
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10638130-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10638130-3102
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License Number State | UT
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