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General NPI Number Information
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NPI Number | 1699423038
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Entity Type | Individual
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Provider Name | KIMBERLY ANN COOPER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 101 E ALLEN ST STE 206
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5091
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Country | US
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Telephone | 828-606-6990
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Fax | 828-372-4580
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Provider Business Mailing Address
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Address Line | 101 E ALLEN ST STE 206
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5091
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Country | US
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Telephone | 828-606-6990
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5015963
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License Number State | NC
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