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General NPI Number Information
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NPI Number | 1578550869
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Entity Type | Individual
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Provider Name | MURRAY ALLAN COOPERSTEIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 7401 OLD YORK RD
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City | ELKINS PARK
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State | PA
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Zip | 19027-3005
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Country | US
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Telephone | 215-546-6808
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Fax | 215-830-1147
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Provider Business Mailing Address
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Address Line | 303 GREYHORSE RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-2804
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Country | US
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Telephone | 215-830-0790
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Fax | 215-830-1147
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS002691L
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License Number State | PA
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