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General NPI Number Information
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NPI Number | 1871053959
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Entity Type | Individual
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Provider Name | MICHELLE COOPER-LYNN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 3051 NW 151ST TER
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City | OPA LOCKA
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State | FL
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Zip | 33054-2543
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Country | US
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Telephone | 786-942-1318
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Fax |
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Provider Business Mailing Address
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Address Line | 14311 BISCAYNE BLVD # 3862
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City | NORTH MIAMI
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State | FL
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Zip | 33261-3479
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Country | US
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Telephone | 954-440-5182
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Fax | 888-410-2849
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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