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General NPI Number Information
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NPI Number | 1215192018
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Entity Type | Organization
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Legal Business Name | DR. COLEMAN PSYCHOLOGY
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 100 E PITT ST STE 202
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City | BEDFORD
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State | PA
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Zip | 15522-1358
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Country | US
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Telephone | 814-977-4417
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Fax | 814-310-2662
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Provider Business Mailing Address
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Address Line | 401 S RICHARD ST
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City | BEDFORD
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State | PA
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Zip | 15522-1840
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Country | US
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Telephone | 814-977-4417
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Fax | 814-310-2662
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. REBECCA COLEMAN
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Credential | PSY.D
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Telephone | 772-766-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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