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General NPI Number Information
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NPI Number | 1144368267
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Entity Type | Individual
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Provider Name | PAULA L. COATES DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 4150 MACLAND RD SUITE 205
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-1202
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Country | US
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Telephone | 770-222-1344
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Fax | 770-222-1345
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Provider Business Mailing Address
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Address Line | 4150 MACLAND RD SUITE 205
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-1202
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Country | US
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Telephone | 770-222-1344
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Fax | 770-222-1345
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN012843
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DNES000014
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License Number State | GA
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