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General NPI Number Information
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NPI Number | 1457315863
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Entity Type | Individual
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Provider Name | RONALD HOWARD COOPER MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 10008 PRESTWICH TER
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City | IJAMSVILLE
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State | MD
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Zip | 21754-9601
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Country | US
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Telephone | 301-865-6291
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Fax | 301-865-0860
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Provider Business Mailing Address
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Address Line | 10008 PRESTWICH TER
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City | IJAMSVILLE
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State | MD
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Zip | 21754-9601
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Country | US
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Telephone | 301-865-6291
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Fax | 301-865-0860
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0052484
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License Number State | MD
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