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General NPI Number Information
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NPI Number | 1346748035
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Entity Type | Individual
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Provider Name | RAY COLON COATES LAMFT
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Gender | Male
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Dates
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Enumeration Date | 01/27/2018
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Last Update Date | 01/27/2018
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Provider Practice Location Address
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Address Line | 185 FARRA DR
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City | LANCASTER
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State | KY
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Zip | 40444-8764
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Country | US
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Telephone | 859-771-7056
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 ARIA LN
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City | LEXINGTON
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State | KY
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Zip | 40514-1161
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Country | US
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Telephone | 859-771-7056
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 174771
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License Number State | KY
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