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NPI 1003976085

NPI 1003976085 : KAREN SUE COFFIELD LPC : MOUNDSVILLE, WV

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General NPI Number Information
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    NPI Number           |    1003976085
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN SUE COFFIELD LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    10 ASH AVE 
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    City                 |    MOUNDSVILLE
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    State                |    WV
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    Zip                  |    26041-1318
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    Country              |    US
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    Telephone            |    304-845-3000
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    Fax                  |    304-234-3511
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Provider Business Mailing Address
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    Address Line         |    RD #1 BOX 344
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    City                 |    MOUNDSVILLE
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    State                |    WV
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    Zip                  |    26041
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    Country              |    US
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    Telephone            |    304-845-8655
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    Fax                  |    304-234-3511
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    1203
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    License Number State |    WV
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