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General NPI Number Information
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NPI Number | 1114510336
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Entity Type | Individual
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Provider Name | ERICA LYNN COYNE
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Gender | Female
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 7611 FOREST AVE STE 320
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City | RICHMOND
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State | VA
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Zip | 23229-4946
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Country | US
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Telephone | 804-285-8206
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Fax | 804-497-5469
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Provider Business Mailing Address
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Address Line | 3022 W BROAD ST APT 536
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City | RICHMOND
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State | VA
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Zip | 23230-5120
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Country | US
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Telephone | 484-832-3087
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110009308
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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