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NPI Code Detail

MEDICARE: CARMELITA COPPINS

MEDICARE: CARMELITA COPPINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
21041C0700XClinical Social Worker65448CA

General Provider Information

NPI Number : 1134210446
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMELITA COPPINS
Provider Business Mailing Address
First Line : 333 S FARRELL DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7905
Country : US
Telephone Number : 760-413-1360
Fax Number : 760-413-1362
Provider Business Practice Location Address
First Line : 333 S FARRELL DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7905
Country : US
Telephone Number : 760-413-1360
Fax Number : 760-413-1362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 10/24/2019

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Directions to “ CARMELITA COPPINS ” Practice Location

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