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General NPI Number Information
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NPI Number | 1730745431
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Entity Type | Organization
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Legal Business Name | COOPER PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 20242 N 29TH PL
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City | PHOENIX
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State | AZ
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Zip | 85050-4711
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Country | US
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Telephone | 602-214-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 20242 N 29TH PL
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City | PHOENIX
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State | AZ
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Zip | 85050-4711
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Country | US
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Telephone | 602-214-5555
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DANIEL COOPER
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Credential |
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Telephone | 602-214-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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