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General NPI Number Information
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NPI Number | 1962447946
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Entity Type | Individual
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Provider Name | ALLAN COOPER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 60 N MAIN ST
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City | CRANBURY
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State | NJ
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Zip | 08512-3252
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Country | US
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Telephone | 609-947-4403
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Fax | 609-409-3861
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Provider Business Mailing Address
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Address Line | 23 WHITEHALL RD
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-1984
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Country | US
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Telephone | 609-409-3860
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Fax | 609-409-3861
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35S100084700
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License Number State | NJ
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