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General NPI Number Information
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NPI Number | 1972846079
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Entity Type | Individual
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Provider Name | WHITNEY ELIZABETH KOPP MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 N RIVER RIDGE BLVD APT 18-101
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City | SPOKANE
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State | WA
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Zip | 99224-5444
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Country | US
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Telephone | 303-807-3505
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Fax | 414-266-4185
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 60954438
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License Number State | WA
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