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General NPI Number Information
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NPI Number | 1497772842
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Entity Type | Organization
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Legal Business Name | W STEPHEN COKER DMD PA
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3600 NW CARY PARKWAY SUITE 115
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City | CARY
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State | NC
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Zip | 27513
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Country | US
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Telephone | 919-380-9622
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Fax | 919-380-9758
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Provider Business Mailing Address
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Address Line | 3600 NW CARY PARKWAY SUITE 115
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City | CARY
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State | NC
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Zip | 27513
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Country | US
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Telephone | 919-380-9622
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Fax | 919-380-9758
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JULIE ANN RODELY
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Credential |
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Telephone | 919-380-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6021
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License Number State | NC
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