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General NPI Number Information
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NPI Number | 1568687473
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Entity Type | Organization
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Legal Business Name | COPE TREATMENT CENTERS INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4171 W MIDDLETOWN RD
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City | CANFIELD
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State | OH
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Zip | 44406-9493
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Country | US
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Telephone | 800-292-3008
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Fax | 330-629-9181
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Provider Business Mailing Address
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Address Line | 4171 W MIDDLETOWN RD
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City | CANFIELD
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State | OH
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Zip | 44406-9493
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Country | US
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Telephone | 800-292-3008
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Fax | 330-629-9181
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM PRICE
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Credential | MD
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Telephone | 800-292-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 35051195
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License Number State | OH
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