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General NPI Number Information
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NPI Number | 1992571137
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Entity Type | Individual
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Provider Name | SARA COPPERMAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 731 N BEACH BLVD STE 140
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City | LA HABRA
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State | CA
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Zip | 90631-3689
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Country | US
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Telephone | 562-303-5925
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Fax |
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Provider Business Mailing Address
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Address Line | 19 LAFAYETTE CT
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-7212
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Country | US
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Telephone | 310-426-4188
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95025303
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License Number State | CA
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