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NPI 1316267891

NPI 1316267891 : ANNE COLEMAN MD PA : RICHARDSON, TX

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General NPI Number Information
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    NPI Number           |    1316267891
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANNE COLEMAN MD PA 
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Dates
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    Enumeration Date     |    06/07/2010
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    Last Update Date     |    06/07/2010
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Provider Practice Location Address
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    Address Line         |    375 MUNICIPAL DR SUITE 128
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-3559
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    Country              |    US
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    Telephone            |    972-694-1111
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    Fax                  |    972-669-1418
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Provider Business Mailing Address
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    Address Line         |    375 MUNICIPAL DR SUITE 128
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-3559
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    Country              |    US
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    Telephone            |    972-694-1111
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    Fax                  |    972-669-1418
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ANNE  COLEMAN 
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    Credential           |    MD
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    Telephone            |    972-669-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    H7969
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    License Number State |    TX
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