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General NPI Number Information
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NPI Number | 1124493028
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Entity Type | Organization
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Legal Business Name | COLEMAN PROFESSIONAL SERVICES, INC.
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 740 N 6TH AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1844
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Country | US
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Telephone | 330-673-1347
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Fax | 330-678-3677
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Provider Business Mailing Address
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Address Line | 5982 RHODES RD
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City | KENT
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State | OH
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Zip | 44240-8100
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Country | US
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Telephone | 330-673-1347
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Fax | 330-678-3677
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | NELSON BURNS
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Credential |
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Telephone | 330-673-1347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 01-0227
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License Number State | OH
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