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General NPI Number Information
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NPI Number | 1457009342
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Entity Type | Individual
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Provider Name | STEPHANIE REHER COOPER PNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 13700 PRIDE PORT HUDSON RD
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City | PRIDE
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State | LA
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Zip | 70770-9200
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Country | US
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Telephone | 225-654-7325
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Fax | 225-570-2043
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 225-654-7325
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 224313
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | 224313
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License Number State | LA
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