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General NPI Number Information
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NPI Number | 1437199684
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Entity Type | Individual
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Provider Name | JOHN T COATES DO
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 209 BRIAR HILL RD SUITE A
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City | NORTH BALTIMORE
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State | OH
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Zip | 45872-9504
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Country | US
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Telephone | 419-257-1417
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Fax | 419-257-7408
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Provider Business Mailing Address
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Address Line | 640 S WINTERGARDEN RD SUITE B
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City | BOWLING GREEN
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State | OH
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Zip | 43402-3544
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Country | US
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Telephone | 419-353-7069
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Fax | 419-353-7076
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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 | 34007620
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License Number State | OH
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