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General NPI Number Information
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NPI Number | 1407275746
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Entity Type | Organization
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Legal Business Name | STEVEN COLEMAN D.O. P.A.
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 9240 BONITA BEACH RD SE SUITE 2217
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4249
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Country | US
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Telephone | 239-908-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 1823 CORAL HEIGHTS LN
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. STEVE COLEMAN
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Credential | D.O.
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Telephone | 773-354-0939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | FL
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