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General NPI Number Information
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NPI Number | 1679821979
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Entity Type | Individual
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Provider Name | GLENN ARTHUR COOPERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 72780 COUNTRY CLUB DR STE 100
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4150
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Country | US
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Telephone | 760-773-9750
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Fax | 760-773-9294
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Provider Business Mailing Address
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Address Line | 72780 COUNTRY CLUB DR STE 100
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4150
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Country | US
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Telephone | 760-773-9750
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Fax | 760-773-9294
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | G58868
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | G58868
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G58868
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G58868
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License Number State | CA
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