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General NPI Number Information
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NPI Number | 1639133424
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Entity Type | Individual
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Provider Name | JAMES CLAUDE COOPER JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 38 W. SUNBRIDGE VA HOSPITAL
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City | FAYETTEVILLE
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State | AR
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Zip | 72703
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Country | US
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Telephone | 479-684-2900
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Fax | 479-571-4015
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Provider Business Mailing Address
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Address Line | 3209 E. ZION RD.
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-872-6558
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Fax | 479-571-4015
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | E1164
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License Number State | AR
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