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General NPI Number Information
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NPI Number | 1699603381
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Entity Type | Organization
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Legal Business Name | COOPER ACADEMY INC.
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 4227 FRANKLIN MILL LN
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City | LOGANVILLE
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State | GA
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Zip | 30052-9701
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Country | US
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Telephone | 678-609-8409
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 FRANKLIN MILL LN
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City | LOGANVILLE
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State | GA
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Zip | 30052-9701
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Country | US
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Telephone | 678-609-8409
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEMETREA COOPER
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Credential |
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Telephone | 803-616-6794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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