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General NPI Number Information
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NPI Number | 1295052603
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Entity Type | Organization
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Legal Business Name | PAUL D. COLEMAN, MD, MPA, CO
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Dates
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Enumeration Date | 04/24/2010
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Last Update Date | 04/24/2010
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Provider Practice Location Address
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Address Line | 107 5TH ST SE SUITE 9
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City | BARBERTON
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State | OH
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Zip | 44203-4269
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Country | US
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Telephone | 330-848-1799
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Fax | 330-848-4324
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Provider Business Mailing Address
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Address Line | 107 5TH ST SE SUITE 9
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City | BARBERTON
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State | OH
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Zip | 44203-4269
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Country | US
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Telephone | 330-848-1799
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Fax | 330-848-4324
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. PAUL DONALD COLEMAN
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Credential | MD
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Telephone | 330-848-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 35052048
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License Number State | OH
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