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General NPI Number Information
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NPI Number | 1679777866
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Entity Type | Individual
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Provider Name | LORAINE A COOPER PHD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6536 STADIUM DR SUITE M
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7586
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Country | US
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Telephone | 813-780-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 6536 STADIUM DR SUITE M
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-7586
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Country | US
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Telephone | 813-780-8182
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | CPC129413
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | CPY02400011000
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | FL
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