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General NPI Number Information
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NPI Number | 1508934191
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Entity Type | Individual
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Provider Name | OZITA DAREACE COOPER MD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3645 MARKETPLACE BLVD
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City | EAST POINT
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State | GA
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Zip | 30344-5747
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Country | US
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Telephone | 833-633-3632
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 MARKETPLACE BLVD # 130332
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City | EAST POINT
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State | GA
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Zip | 30344-5747
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Country | US
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Telephone | 833-633-3632
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 307371
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 50293
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | MD61119290
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 0101054525
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | MD17389
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License Number State | RI
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 104917
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 44434
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 2661
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License Number State | MN
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Taxonomy #9
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 75768
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License Number State | WI
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Taxonomy #10
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 11970900-1205
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License Number State | UT
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Taxonomy #11
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | ME127907
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 91575
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License Number State | MT
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Taxonomy #13
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 044434
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License Number State | GA
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Taxonomy #14
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | DR.0065478
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License Number State | CO
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Taxonomy #15
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 4301503558
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License Number State | MI
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