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General NPI Number Information
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NPI Number | 1841944345
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Entity Type | Organization
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Legal Business Name | DIMITRI COUPET MD PC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 14201 LAUREL PARK DR STE 106
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City | LAUREL
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State | MD
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Zip | 20707-5203
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Country | US
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Telephone | 240-264-6595
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Fax | 240-360-5934
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Provider Business Mailing Address
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Address Line | 14201 LAUREL PARK DR STE 106
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City | LAUREL
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State | MD
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Zip | 20707-5203
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Country | US
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Telephone | 240-264-6595
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Fax | 240-360-5934
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. DIMITRI COUPET
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Credential | MD
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Telephone | 516-849-7821
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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 |
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License Number State |
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