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General NPI Number Information
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NPI Number | 1093204067
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Entity Type | Individual
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Provider Name | DARLYNN JOANN COATES MACMHC, LPC/I
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Gender | Female
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Dates
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Enumeration Date | 05/05/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2143 HOFFMEYER RD STE B
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City | FLORENCE
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State | SC
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Zip | 29501-4078
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Country | US
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Telephone | 843-799-4299
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Fax |
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Provider Business Mailing Address
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Address Line | 73 HUNTING INC RD
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City | CAMDEN
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State | SC
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Zip | 29020-9611
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Country | US
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Telephone | 843-260-0456
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6841
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License Number State | SC
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