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General NPI Number Information
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NPI Number | 1982374401
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Entity Type | Individual
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Provider Name | ARDEN MEKELLE COOPER MA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 3521 SILVERSIDE RD STE 2F1
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City | WILMINGTON
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State | DE
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Zip | 19810-4900
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Country | US
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Telephone | 571-271-8851
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Fax |
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Provider Business Mailing Address
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Address Line | 2334 ELMWOOD DR SE
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City | ATLANTA
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State | GA
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Zip | 30339-8908
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Country | US
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Telephone | 571-271-8851
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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