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General NPI Number Information
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NPI Number | 1801444377
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Entity Type | Individual
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Provider Name | KRISTINA COOPER AGPCNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 06/28/2026
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Provider Practice Location Address
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Address Line | 10006 CROSS CREEK BLVD STE 518
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City | TAMPA
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State | FL
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Zip | 33647-2595
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Country | US
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Telephone | 856-625-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 3910 RIVER BREEZE CIR
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3169
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11014185
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024178909
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9597682
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License Number State | FL
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