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General NPI Number Information
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NPI Number | 1982681201
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Entity Type | Individual
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Provider Name | ELLEN MCLAURIN COOPER FNP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2313 MURCHISON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3517
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Country | US
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Telephone | 919-544-6318
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Fax | 919-544-6336
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Provider Business Mailing Address
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Address Line | 3613A RAEFORD RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2113
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Country | US
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Telephone | 910-483-1493
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Fax | 910-920-4212
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201472
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License Number State | NC
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