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General NPI Number Information
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NPI Number | 1457469330
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Entity Type | Individual
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Provider Name | ERIC N. COFFMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 4333 STONY RIVER DR
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City | BLOOMFIELD
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State | MI
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Zip | 48301-3650
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Country | US
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Telephone | 313-402-8381
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Fax |
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Provider Business Mailing Address
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Address Line | 20331 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1411
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Country | US
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Telephone | 248-474-5601
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Fax | 248-474-5618
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 5101007287
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License Number State | MI
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