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General NPI Number Information
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NPI Number | 1548360217
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Entity Type | Organization
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Legal Business Name | COPE FAMILY MEDICINE LC
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 620 MEDICAL DR SUITE 150
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City | BOUNTIFUL
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State | UT
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Zip | 84010-5084
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Country | US
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Telephone | 801-298-4112
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Fax | 801-298-5397
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Provider Business Mailing Address
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Address Line | 620 MEDICAL DR SUITE 150
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City | BOUNTIFUL
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State | UT
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Zip | 84010-5084
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Country | US
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Telephone | 801-298-4112
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Fax | 801-298-5397
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | DR. DAVID GEORGE COPE
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Credential | M.D.
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Telephone | 801-298-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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