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NPI Code Detail

MEDICARE: MIESHA COPELAND

MEDICARE: MIESHA COPELAND
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174014518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIESHA COPELAND
Provider Business Mailing Address
First Line : 60 W LANDIS AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-8132
Country : US
Telephone Number : 856-772-5809
Fax Number :
Provider Business Practice Location Address
First Line : 60 W LANDIS AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-8132
Country : US
Telephone Number : 856-772-5809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 06/11/2025

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Directions to “ MIESHA COPELAND ” Practice Location

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