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General NPI Number Information
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NPI Number | 1972467371
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Entity Type | Individual
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Provider Name | DAKOTA A COOPER
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Gender | Male
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 306 W MAIN ST
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City | BLOOMFIELD
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State | NE
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Zip | 68718-4035
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Country | US
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Telephone | 402-373-4358
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 E 14TH ST
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City | WAYNE
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State | NE
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Zip | 68787-1247
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Country | US
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Telephone | 402-375-2800
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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