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General NPI Number Information
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NPI Number | 1033373964
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Entity Type | Organization
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Legal Business Name | MARK E. COTNEY, D.C., P.C.
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 101 N GREEN ST
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City | THOMASTON
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State | GA
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Zip | 30286-3554
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Country | US
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Telephone | 706-647-2225
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Fax | 706-648-2153
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Provider Business Mailing Address
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Address Line | 101 N GREEN ST
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City | THOMASTON
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State | GA
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Zip | 30286-3554
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Country | US
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Telephone | 706-647-2225
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Fax | 706-648-2153
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. MARK EDWARD COTNEY
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Credential | D.C.
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Telephone | 706-647-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR002103
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License Number State | GA
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