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General NPI Number Information
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NPI Number | 1518991371
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Entity Type | Organization
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Legal Business Name | COATESVILLE PEDIATRICS
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 217 REECEVILLE RD SUITE B
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City | COATESVILLE
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State | PA
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Zip | 19320
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Country | US
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Telephone | 610-384-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 217 REECEVILLE RD SUITE B
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City | COATESVILLE
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State | PA
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Zip | 19320
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Country | US
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Telephone | 610-384-5437
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Fax | 610-380-8601
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID J COOPER
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Credential | MD
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Telephone | 610-384-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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