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General NPI Number Information
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NPI Number | 1497635254
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Entity Type | Organization
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Legal Business Name | COOPER DOCKERY HEALTH INC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4108 N 10TH ST STE 100
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City | MCALLEN
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State | TX
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Zip | 78504-7558
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Country | US
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Telephone | 956-731-4484
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Fax |
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Provider Business Mailing Address
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Address Line | 801 E NOLANA AVE STE 12
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City | MCALLEN
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State | TX
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Zip | 78504-6112
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Country | US
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Telephone | 956-627-3706
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Fax | 956-627-2345
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DONA ELANE COOPER-DOCKERY
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Credential | MD
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Telephone | 956-529-6619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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