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General NPI Number Information
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NPI Number | 1427300268
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Entity Type | Organization
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Legal Business Name | RICK E COFER DDS PA
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 1502 N. BRAZOS
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City | WHITNEY
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State | TX
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Zip | 76692
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Country | US
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Telephone | 254-694-3111
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Fax | 254-694-6292
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Provider Business Mailing Address
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Address Line | 1502 N. BRAZOS
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City | WHITNEY
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State | TX
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Zip | 76692
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Country | US
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Telephone | 254-694-3111
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Fax | 254-694-6292
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | RICK E COFER
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Credential | DDS
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Telephone | 254-694-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16764
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License Number State | TX
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