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General NPI Number Information
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NPI Number | 1871093005
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Entity Type | Individual
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Provider Name | SYLVIA COOPERMAN NP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 02/14/2018
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD STE 208
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City | PAOLI
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State | PA
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Zip | 19301-1473
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Country | US
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Telephone | 610-644-0477
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Fax | 610-644-4161
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Provider Business Mailing Address
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Address Line | 20 CROWN OAK DR
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City | CHESTER SPRINGS
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State | PA
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Zip | 19425-2436
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Country | US
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Telephone | 484-354-8248
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | VP001989C
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License Number State | PA
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