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General NPI Number Information
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NPI Number | 1508933805
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Entity Type | Individual
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Provider Name | LOIS KOERING MSPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 1051 W SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360-6931
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Country | US
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Telephone | 856-696-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 870 TUSKA AVE
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City | PITTSGROVE
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State | NJ
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Zip | 08318-4262
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Country | US
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Telephone | 508-958-5833
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 946
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8021
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01281100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00145900
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License Number State | NJ
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