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General NPI Number Information
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NPI Number | 1407714942
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Entity Type | Individual
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Provider Name | AISLING COONEY PA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2200 TYDD ST
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City | EUREKA
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State | CA
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Zip | 95501-1284
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Country | US
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Telephone | 707-441-1624
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 49TH ST N APT 813
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City | PINELLAS PARK
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State | FL
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Zip | 33781-1545
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Country | US
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Telephone | 206-637-6263
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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 | WDL647R5873B
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License Number State | WA
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