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General NPI Number Information
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NPI Number | 1518942036
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Entity Type | Individual
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Provider Name | NANCY LEE KOPITNIK DO
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Gender | Female
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1507 S TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34239-2608
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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Provider Business Mailing Address
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Address Line | 157 BALTIMORE ST STE 102
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City | CUMBERLAND
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State | MD
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Zip | 21502-2472
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Country | US
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Telephone | 301-722-0484
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Fax | 833-903-0130
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | OS6229
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | OS6229
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | OS6229
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS6229
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | OS6229
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License Number State | FL
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