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NPI Code Detail

MEDICARE: TELL B. COPENING M.D.

MEDICARE: TELL B. COPENING M.D.
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
1207Q00000XFamily Medicine Physician109097MO
2207Q00000XFamily Medicine Physician04-14418KS

General Provider Information

NPI Number : 1801912605
Entity Type Code : Individual
Provider Name (Legal Business Name) : TELL B. COPENING M.D.
Provider Business Mailing Address
First Line : 6416 OLD WINTER GARDEN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32835-1348
Country : US
Telephone Number : 407-751-7288
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 16575 W 119TH ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-7770
Country : US
Telephone Number : 913-815-5508
Fax Number : 855-446-7281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 01/13/2020

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Directions to “ TELL B. COPENING M.D.” Practice Location

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