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General NPI Number Information
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NPI Number | 1467008383
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Entity Type | Individual
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Provider Name | STEVEN COOPERMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 350 W WILSON BRIDGE RD STE 200
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City | WORTHINGTON
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State | OH
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Zip | 43085-2591
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Country | US
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Telephone | 614-885-8747
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Fax | 614-895-8810
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Provider Business Mailing Address
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Address Line | 163 TOWER CIR
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City | SOMERSET
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State | KY
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Zip | 42503-3479
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Country | US
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Telephone | 606-679-7464
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Fax | 606-678-8586
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.004089
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.004089
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 293858
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License Number State | KY
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