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General NPI Number Information
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NPI Number | 1972087450
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Entity Type | Individual
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Provider Name | QUINA KOU-MALINDA COOPER FNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 1576 MERRITT BLVD STE 18
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City | DUNDALK
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State | MD
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Zip | 21222-2132
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Country | US
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Telephone | 443-693-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 2 PARK CENTER CT STE 200
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4221
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Country | US
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Telephone | 443-693-7246
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Fax | 443-399-8309
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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 | R162720
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License Number State | MD
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