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General NPI Number Information
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NPI Number | 1255875035
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Entity Type | Individual
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Provider Name | SARAH GEANNE COFFIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 51 PERKINS ST
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City | NEW HAVEN
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State | CT
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Zip | 06513-3210
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Country | US
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Telephone | 508-254-1584
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Fax |
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Provider Business Mailing Address
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Address Line | 435 LEWIS AVE STE 103
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City | MERIDEN
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State | CT
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Zip | 06451-2101
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Country | US
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Telephone | 508-254-1584
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003726
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License Number State | CT
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