Provider Information for 1447874474
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CAROLYN J COOPER PC
Sex: Female
NPI: 1447874474
Last Updated: 2020-06-05
Certification Date: 2020-06-05
Certification Date: 2020-06-05
Details
Name | Value | ||||||||
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NPI | 1447874474 | ||||||||
Enumeration Date | 2020-06-05 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 37 HIGHLAND AVE WASHINGTON, PA 15301-4062 United States Phone: | Fax: | ||||||||
Primary Practice Address | 37 HIGHLAND AVE WASHINGTON, PA 15301-4062 United States Phone: 724-228-8420 | Fax: | ||||||||
Secondary Practice Address(es) | 1070 OLD NATIONAL PIKE | ||||||||
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