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General NPI Number Information
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NPI Number | 1972276244
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Entity Type | Individual
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Provider Name | JENNIFER LYNN FOSTER COOPER
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Gender | Female
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Dates
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Enumeration Date | 07/31/2021
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 5 CORPORATE CENTER CT
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City | GREENSBORO
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State | NC
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Zip | 27408-2033
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Country | US
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Telephone | 336-357-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 HOLLY GROVE RD
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City | LEXINGTON
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State | NC
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Zip | 27292-4233
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Country | US
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Telephone | 336-682-5247
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016400
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License Number State | NC
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