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General NPI Number Information
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NPI Number | 1699359281
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Entity Type | Individual
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Provider Name | LAUREN COOPER MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 255 ROUTE 220 HWY STE 211
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City | MUNCY
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State | PA
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Zip | 17756-7568
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Country | US
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Telephone | 800-230-4565
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Fax | 570-368-4463
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-6144
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Fax | 570-271-6578
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD485859
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License Number State | PA
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