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General NPI Number Information
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NPI Number | 1528199346
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Entity Type | Individual
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Provider Name | BETSY J COOPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 927 S WALTER REED DR SUITE 12
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City | ARLINGTON
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State | VA
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Zip | 22204-2380
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Country | US
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Telephone | 703-685-0005
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Fax | 703-685-0006
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Provider Business Mailing Address
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Address Line | 4501 CONNECTICUT AVE NW APT. 116
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City | WASHINGTON
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State | DC
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Zip | 20008-3710
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Country | US
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Telephone | 703-685-0005
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Fax | 703-685-0006
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16501
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01010340515
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License Number State | VA
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