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General NPI Number Information
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NPI Number | 1477535714
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Entity Type | Individual
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Provider Name | JODI COATES M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 555 CAPITOL MALL STE 260
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City | SACRAMENTO
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State | CA
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Zip | 95814-4503
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Country | US
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Telephone | 916-441-0400
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Fax | 916-441-0406
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Provider Business Mailing Address
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Address Line | 8701 HAMMERSMITH LN
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City | FAIR OAKS
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State | CA
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Zip | 95628-6300
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Country | US
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Telephone | 916-812-9640
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A93387
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | A93387
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | A93387
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License Number State | CA
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