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General NPI Number Information
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NPI Number | 1457536047
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Entity Type | Individual
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Provider Name | WILLIAM ANDREW COFFEY LMSW
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Gender | Male
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 467 N STATE ST
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City | CARO
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State | MI
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Zip | 48723-1539
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Country | US
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Telephone | 989-672-6160
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Fax | 989-672-6272
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Provider Business Mailing Address
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Address Line | 3741 WILDER RD SUITE A
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City | BAY CITY
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State | MI
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Zip | 48706-2343
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Country | US
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Telephone | 989-460-1000
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Fax | 989-460-1001
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801079141
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License Number State | MI
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