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General NPI Number Information
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NPI Number | 1245496926
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Entity Type | Organization
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Legal Business Name | LINDA COFFEY MD PA
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 19222 STONEHUE SUITE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3453
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Country | US
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Telephone | 210-497-1475
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Fax | 210-497-1502
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Provider Business Mailing Address
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Address Line | 19222 STONEHUE SUITE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3453
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Country | US
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Telephone | 210-497-1475
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Fax | 210-497-1502
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Authorized Official
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Title or Position | MD
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Name | DR. LINDA JEAN ROYALL COFFEY
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Credential | M.D.
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Telephone | 210-497-1475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G4925
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License Number State | TX
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