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General NPI Number Information
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NPI Number | 1801926001
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Entity Type | Individual
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Provider Name | KIRSTEN LEA COOPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 13220 STARKEY RD STE 500
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City | LARGO
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State | FL
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Zip | 33773-1446
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Country | US
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Telephone | 727-398-7701
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Fax | 727-287-4541
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Provider Business Mailing Address
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Address Line | 13220 STARKEY RD STE 500
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City | LARGO
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State | FL
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Zip | 33773-1446
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Country | US
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Telephone | 727-398-7701
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Fax | 727-287-4541
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME139523
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33166
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License Number State | KY
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