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General NPI Number Information
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NPI Number | 1932080223
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Entity Type | Individual
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Provider Name | LINDSAY NICHOLE COOPER RN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10 PATEWOOD DR STE 150
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City | GREENVILLE
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State | SC
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Zip | 29615-6349
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Country | US
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Telephone | 864-454-5612
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Fax | 864-454-5121
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Provider Business Mailing Address
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Address Line | 110 BURNING BUSH LN
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City | GREENVILLE
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State | SC
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Zip | 29607-5821
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Country | US
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Telephone | 864-454-5612
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Fax | 864-454-5121
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 91596
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License Number State | SC
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