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General NPI Number Information
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NPI Number | 1760820179
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Entity Type | Individual
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Provider Name | ZACHARY RYAN COOPER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 312 GRAMMONT ST STE 101
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City | MONROE
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State | LA
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Zip | 71201-7403
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Country | US
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Telephone | 318-998-6138
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Fax | 318-812-1755
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Provider Business Mailing Address
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Address Line | 216 E FRENCHMANS BEND RD
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City | MONROE
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State | LA
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Zip | 71203-8702
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Country | US
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Telephone | 318-547-4048
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 306610
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License Number State | LA
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