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General NPI Number Information
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NPI Number | 1588581011
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Entity Type | Individual
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Provider Name | JENNIFER COOPER RN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 5200 BABCOCK ST NE STE 303
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City | PALM BAY
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State | FL
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Zip | 32905-4648
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Country | US
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Telephone | 321-499-3077
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Fax | 888-440-8238
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Provider Business Mailing Address
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Address Line | 5200 BABCOCK ST NE STE 303
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City | PALM BAY
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State | FL
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Zip | 32905-4648
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Country | US
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Telephone | 321-499-3077
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Fax | 888-440-8238
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 1106731
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License Number State | KY
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