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1386068740 NPI number — CAITLYN COATES PA-C MPH

NPI Number: 1386068740
Health Care Provider/Practitioner: CAITLYN COATES PA-C MPH

Information about “1386068740” NPI (CAITLYN COATES PA-C MPH) exists in 1386068740 in HTML format HTML  |  1386068740 in plain Text format TXT  |  1386068740 in PDF (Portable Document Format) PDF  |  1386068740 in an XML format XML  formats.

NPI Number : 1386068740 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386068740",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COATES",
    "FirstName": "CAITLYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C MPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WARREN",
    "OtherFirstName": "CAITLYN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "14923 CHILGROVE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTERSVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28078-9760",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-796-7955",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2809 E MILLBROOK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RALEIGH",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-790-3237",
    "PracticeLocationAddressFaxNumber": "919-790-3268",
    "EnumerationDate": "02/05/2014",
    "LastUpdateDate": "10/28/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "0010-04821",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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