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General NPI Number Information
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NPI Number | 1386512457
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Entity Type | Individual
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Provider Name | AMANII S COFFMAN
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Gender | Male
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 20700 CIVIC CENTER DR, SOUTHFIELD, MI 48076
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City | SOUTHFEILD
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State | MI
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Zip | 48076
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Country | US
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Telephone | 800-385-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 1899 BEAUFAITE DRIVE GROSSE POINTE WOOD
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City | 1899 BEAUFAIT DRIVE GROSSE POINTE WOODS
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State | MI
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Zip | 48236
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Country | US
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Telephone | 800-385-1035
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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