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General NPI Number Information
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NPI Number | 1477958775
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Entity Type | Individual
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Provider Name | MRS. DENIZ F. KOPRULU
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 14701 DETROIT AVE SUITE 620
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City | LAKEWOOD
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State | OH
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Zip | 44107-4115
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Country | US
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Telephone | 216-226-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 14701 DETROIT AVENUE SUITE 620
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City | LAKEWOOD
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State | OH
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Zip | 44107
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Country | US
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Telephone | 216-226-5000
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA 16404-NP
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License Number State | OH
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