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General NPI Number Information
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NPI Number | 1063196921
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Entity Type | Individual
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Provider Name | EDWARD DOUGLAS COEN ARNP
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Gender | Male
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2710 SAINT FRANCIS DR STE 510
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City | WATERLOO
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State | IA
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Zip | 50702-5620
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Country | US
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Telephone | 319-272-5000
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Fax | 319-272-5227
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Provider Business Mailing Address
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Address Line | 3421 W 9TH ST
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City | WATERLOO
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State | IA
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Zip | 50702-5401
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Country | US
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Telephone | 319-272-7304
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Fax | 319-272-7318
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A174451
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License Number State | IA
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