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General NPI Number Information
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NPI Number | 1427335785
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Entity Type | Organization
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Legal Business Name | COHO FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 5030 E SHENNUM DR
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City | WASILLA
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State | AK
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Zip | 99654-7718
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Country | US
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Telephone | 907-357-0820
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Fax | 888-424-5578
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Provider Business Mailing Address
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Address Line | PO BOX 876196
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City | WASILLA
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State | AK
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Zip | 99687-6196
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Country | US
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Telephone | 907-357-0820
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Fax | 888-424-5578
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. STEVE EMERY PARKER
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Credential | MD
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Telephone | 907-357-0820
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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 | 6631
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License Number State | AK
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