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NPI 1972815678

NPI 1972815678 : ANYA KERIN COPE D.O. : CORBIN, KY

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General NPI Number Information
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    NPI Number           |    1972815678
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    Entity Type          |    Individual 
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    Provider Name        |    ANYA KERIN COPE D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/10/2010
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    Last Update Date     |    02/05/2016
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Provider Practice Location Address
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    Address Line         |    2 TRILLIUM WAY SUITE 306
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    City                 |    CORBIN
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    State                |    KY
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    Zip                  |    40701-8490
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    Country              |    US
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    Telephone            |    606-523-4070
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    Fax                  |    606-526-4072
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1325 
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    City                 |    CORBIN
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    State                |    KY
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    Zip                  |    40702-1325
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    Country              |    US
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    Telephone            |    606-526-8131
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    Fax                  |    606-528-8661
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    0116022869
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    03791
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    License Number State |    KY
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