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General NPI Number Information
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NPI Number | 1508839440
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Entity Type | Individual
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Provider Name | CHRISTIAN FLETCHER COOPER MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2501 CAPEHART RD
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City | OFFUTT AFB
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State | NE
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Zip | 68113-1043
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Country | US
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Telephone | 402-294-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 655 7TH ST BLDG 700A
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City | ROBINS AFB
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State | GA
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Zip | 31098-2227
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Country | US
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Telephone | 478-327-7620
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | ME131795
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 049772
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28521
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD29487
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 049772
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 29487
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME131795
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License Number State | FL
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