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General NPI Number Information
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NPI Number | 1881859080
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Entity Type | Individual
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Provider Name | NITI D COOPER DO
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Gender | Female
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 352 S DELSEA DR STE C
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City | VINELAND
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State | NJ
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Zip | 08360-5306
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Country | US
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Telephone | 856-690-1616
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Fax | 856-896-6107
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Provider Business Mailing Address
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Address Line | 352 S DELSEA DR STE C
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City | VINELAND
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State | NJ
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Zip | 08360-5306
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Country | US
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Telephone | 856-690-1616
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Fax | 856-896-6107
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MB08187500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MB08187500
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License Number State | NJ
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