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NPI Code Detail

MEDICARE: AMY BETH COPE PA-C

MEDICARE: AMY BETH COPE PA-C
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
1363A00000XPhysician Assistant505WV
2363AM0700XMedical Physician Assistant505WV

General Provider Information

NPI Number : 1538428669
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BETH COPE PA-C
Provider Business Mailing Address
First Line : 300 SEVILLE RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9206
Country : US
Telephone Number : 304-757-6805
Fax Number :
Provider Business Practice Location Address
First Line : 300 SEVILLE RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9206
Country : US
Telephone Number : 304-757-6805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 04/21/2025

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