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Individual

FERNANDA D. COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2536
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0041656
NEIGHBORHOOD HEALTH PLAN
MA
01
9750052
AETNA
MA
01
AAAA96834
HARVARD PILGRIM
MA
01
LD0230
BLUE CROSS BLUE SHEILD
MA
Enumeration date
08/21/2007
Last updated
11/11/2008
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