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General NPI Number Information
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NPI Number | 1932510609
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Entity Type | Individual
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Provider Name | CHANDRA COOPER
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Gender | Female
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 808 OAK AVE
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City | SALINAS
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State | CA
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Zip | 93901-2952
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Country | US
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Telephone | 831-757-8689
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Fax |
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Provider Business Mailing Address
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Address Line | 200 GALLERIA PARKWAY
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City | ATLANTA
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State | GAS
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Zip | 30339
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Country | UM
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004183
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN136292
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License Number State | GA
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