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General NPI Number Information
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NPI Number | 1386755072
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Entity Type | Organization
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Legal Business Name | J COFFEY MD PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 1900 W 2ND ST SUITE C
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City | ELK CITY
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State | OK
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Zip | 73644-4328
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Country | US
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Telephone | 580-225-9222
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Fax | 580-225-1027
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Provider Business Mailing Address
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Address Line | 1900 W 2ND ST STE C
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City | ELK CITY
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State | OK
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Zip | 73644-4328
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Country | US
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Telephone | 580-225-9222
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Fax | 866-835-6543
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SALLY ANN COFFEY
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Credential |
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Telephone | 580-225-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20836
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License Number State | OK
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