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General NPI Number Information
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NPI Number | 1982640181
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Entity Type | Individual
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Provider Name | BONNIE M COOPER MA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 970 HOPE ST
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City | BRISTOL
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State | RI
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Zip | 02809-5210
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Country | US
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Telephone | 401-253-7575
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Fax | 401-254-1733
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Provider Business Mailing Address
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Address Line | 17 ECHO DR
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City | BARRINGTON
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State | RI
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Zip | 02806-2807
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Country | US
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Telephone | 401-245-8995
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00031
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License Number State | RI
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