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NPI 1649235433

NPI 1649235433 : BID ALLEN COOPER MD : SNYDER, TX

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General NPI Number Information
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    NPI Number           |    1649235433
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    Entity Type          |    Individual 
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    Provider Name        |    BID ALLEN COOPER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/18/2006
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    Last Update Date     |    06/14/2024
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Provider Practice Location Address
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    Address Line         |    1700 COGDELL BLVD 
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    City                 |    SNYDER
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    State                |    TX
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    Zip                  |    79549
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    Country              |    US
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    Telephone            |    325-573-1300
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    Fax                  |    325-573-6985
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Provider Business Mailing Address
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    Address Line         |    1700 COGDELL BLVD 
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    City                 |    SNYDER
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    State                |    TX
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    Zip                  |    79549-6162
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    Country              |    US
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    Telephone            |    325-574-7437
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    Fax                  |    325-574-7433
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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        |    207VX0000X
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    Taxonomy Name        |    Obstetrics Physician
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    License Number       |    F6184
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    F6184
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    License Number State |    TX
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