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NPI 1346234440

NPI 1346234440 : ANDREW D. COEN MD : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1346234440
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW D. COEN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/02/2005
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    Last Update Date     |    07/29/2024
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Provider Practice Location Address
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    Address Line         |    4545 R ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68503-3723
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    Country              |    US
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    Telephone            |    402-465-4545
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    Fax                  |    402-465-3621
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Provider Business Mailing Address
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    Address Line         |    4545 R ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68503-3799
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    Country              |    US
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    Telephone            |    402-465-4545
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    Fax                  |    402-465-3621
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    23142
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    23142
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    License Number State |    NE
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