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General NPI Number Information
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NPI Number | 1407249527
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Entity Type | Individual
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Provider Name | ALEXUS MARTEL COGGINS CNA
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Gender | Female
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 03/13/2015
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Provider Practice Location Address
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Address Line | 6305 CARLISLE SQ 201-A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-3754
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Country | US
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Telephone | 513-884-3339
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Fax |
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Provider Business Mailing Address
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Address Line | 6305 CARLISLE SQ 201-A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-3754
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Country | US
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Telephone | 513-884-3339
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 1401170073
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 401668280714
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License Number State | OH
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