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General NPI Number Information
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NPI Number | 1558527200
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Entity Type | Individual
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Provider Name | PATRICIA M JONES COOPER NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 525 W. RIVER WOODS PKWY. STE. 130
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City | GLENDALE
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State | WI
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Zip | 53212
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Country | US
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Telephone | 414-961-0304
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Fax | 414-961-2061
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Provider Business Mailing Address
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Address Line | 2500 N. MAYFAIR RD. STE. 500
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City | WAUWATOSA
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State | WI
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Zip | 53226
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Country | US
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Telephone | 414-257-2525
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Fax | 414-257-1772
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3508-33
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License Number State | WI
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