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Individual
CATHERINE P COOPER
Active
Individual
CATHERINE P COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000165A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201078330
—
IN
01
—
P01170040
RR MEDICARE PTAN
IN
Enumeration date
03/08/2006
Last updated
04/08/2015
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