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NPI Profile for REBECCA COPPAGE in KANSAS CITY, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics, Critical Care |
363LP0222X | 50 | Nurse Practitioner |
| NPI Number | 1053758979 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/01/2013 | |
| Last updated | 06/01/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REBECCA COPPAGE
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REBECCA COPPAGE