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Individual
HENRY P COOLER
Active
Individual
HENRY P COOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5348
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053480
—
SC
01
—
180002975
RAILROAD MEDICARE
SC
Enumeration date
04/20/2006
Last updated
09/08/2009
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