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General NPI Number Information
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NPI Number | 1790270908
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Entity Type | Individual
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Provider Name | JONATHAN COPPENGER NP
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Gender | Male
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 1130 MIDDLE CREEK RD STE 270
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3052
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Country | US
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Telephone | 865-365-3074
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 MIDDLE CREEK RD STE 270
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3052
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Country | US
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Telephone | 865-365-3074
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24356
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License Number State | TN
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