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General NPI Number Information
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NPI Number | 1407531825
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Entity Type | Individual
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Provider Name | EMILY ANN COFFEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 3535 US HIGHWAY 1 STE 463A
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City | PRINCETON
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State | NJ
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Zip | 08540-5974
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Country | US
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Telephone | 609-445-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 27 PAVILICA RD
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City | STOCKTON
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State | NJ
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Zip | 08559-1106
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Country | US
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Telephone | 757-298-5110
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26NJ14865000
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License Number State | NJ
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