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General NPI Number Information
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NPI Number | 1023084860
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Entity Type | Individual
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Provider Name | DONNA COFFMAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 400 W INTERSTATE HIGHWAY 635 STE 130
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City | IRVING
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State | TX
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Zip | 75063-3700
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Country | US
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Telephone | 972-579-5222
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Fax | 972-579-3900
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Provider Business Mailing Address
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Address Line | PO BOX 224702
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City | DALLAS
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State | TX
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Zip | 75222-4702
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Country | US
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Telephone | 972-579-5222
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Fax | 972-579-3900
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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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | G8807
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G8807
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License Number State | TX
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