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General NPI Number Information
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NPI Number | 1720206329
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Entity Type | Individual
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Provider Name | BRIAN COOPER
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Gender | Male
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 131 NASHUA RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-3604
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Country | US
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Telephone | 603-432-5987
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Fax |
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Provider Business Mailing Address
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Address Line | 10 GLENWOOD RD
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City | WINDHAM
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State | NH
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Zip | 03087-1162
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Country | US
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Telephone | 617-543-3255
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH25523
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | R1921
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License Number State | NH
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