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General NPI Number Information
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NPI Number | 1487850905
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Entity Type | Individual
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Provider Name | DANIEL COULTER MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 308 S FRIENDSWOOD DR STE 200
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-3989
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Country | US
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Telephone | 844-824-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 9TH ST STE 150
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City | SACRAMENTO
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State | CA
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Zip | 95814-6476
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Country | US
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Telephone | 916-654-6797
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Fax | 916-651-8908
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 139926
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | T3452
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License Number State | TX
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