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General NPI Number Information
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NPI Number | 1033416235
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Entity Type | Individual
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Provider Name | CARMEN S COFIELD DPT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 12528 W WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-5506
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Country | US
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Telephone | 310-745-4275
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Fax |
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Provider Business Mailing Address
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Address Line | 4330 MCLAUGHLIN AVE APT 103
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City | LOS ANGELES
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State | CA
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Zip | 90066-5973
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Country | US
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Telephone | 516-512-0624
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 033254
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 292052
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License Number State | CA
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