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Individual

LINDA ELIZABETH COPELAND

Active
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Individual

LINDA ELIZABETH COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-4220
CA
208000000X
Pediatrics Physician
Primary
G63521
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
G63521
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G635210
CA
Enumeration date
11/17/2006
Last updated
12/27/2017
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