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General NPI Number Information
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NPI Number | 1598321879
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Entity Type | Individual
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Provider Name | JULIETTE BATES COOPER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 319 WESTWOOD AVE LOWR LEVEL
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City | HIGH POINT
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State | NC
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Zip | 27262-4323
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Country | US
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Telephone | 336-878-6419
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Fax | 336-878-6420
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Provider Business Mailing Address
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Address Line | 1 UNIVERSITY PKWY
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City | HIGH POINT
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State | NC
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Zip | 27268-4260
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Country | US
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Telephone | 336-841-9667
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16419
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 700187
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License Number State | NC
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