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General NPI Number Information
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NPI Number | 1477925311
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Entity Type | Individual
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Provider Name | LEE COPSON M.A.
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Gender | Female
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 9834 GENESEE AVE HM POOLE BUILDING, SUITE 224
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City | LA JOLLA
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State | CA
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Zip | 92037-1223
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Country | US
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Telephone | 858-626-6394
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Fax | 858-626-7370
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-554-9933
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU1816
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License Number State | CA
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