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Individual
DR. AMANDA NICOLE COPPEDGE
Active
Individual
DR. AMANDA NICOLE COPPEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001339500
—
FL
Enumeration date
08/11/2007
Last updated
07/20/2011
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