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General NPI Number Information
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NPI Number | 1366597080
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Entity Type | Individual
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Provider Name | DARLA P COATES I CPHT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3838 N CAUSEWAY BLVD SUITE 2200
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City | METAIRIE
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State | LA
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Zip | 70002-1767
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Country | US
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Telephone | 504-681-8884
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Fax | 504-681-2561
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Provider Business Mailing Address
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Address Line | 5037 HASTINGS ST
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City | METAIRIE
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State | LA
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Zip | 70006-2537
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Country | US
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Telephone | 504-887-9354
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Fax | 504-887-9354
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 2013
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License Number State | LA
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