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General NPI Number Information
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NPI Number | 1144493545
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Entity Type | Individual
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Provider Name | MS. PATRICIA C COKER
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Gender | Female
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 151 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29403-6850
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Country | US
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Telephone | 843-792-7491
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Fax | 843-792-3075
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | FOLLY BEACH
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State | SC
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Zip | 29439-0292
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Country | US
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Telephone | 843-792-7491
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2214
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License Number State | SC
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