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General NPI Number Information
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NPI Number | 1811879620
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Entity Type | Individual
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Provider Name | ALLISON M COPE CADC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 130 LETOURNEAU CIRCLE BLDG 90311
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City | HURLBURT FIELD
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State | FL
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Zip | 32544
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Country | US
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Telephone | 850-881-4237
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Fax |
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Provider Business Mailing Address
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Address Line | 370 THURSDAY DR
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City | HURLBURT FIELD
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State | FL
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Zip | 32544-1086
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Country | US
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Telephone | 254-913-8803
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2647
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License Number State |
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