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General NPI Number Information
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NPI Number | 1336220409
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Entity Type | Individual
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Provider Name | DONNA DEANNE COTY D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 2471 US 11 LAFAYETTE CHIROPRACTIC CENTER
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City | LAFAYETTE
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State | NY
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Zip | 13084
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Country | US
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Telephone | 315-677-0107
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Fax | 315-677-0107
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Provider Business Mailing Address
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Address Line | 6050 US ROUTE 11
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City | LAFAYETTE
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State | NY
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Zip | 13084
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Country | US
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Telephone | 315-677-0107
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Fax | 315-849-9639
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X007915
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License Number State | NY
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