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General NPI Number Information
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NPI Number | 1508987470
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Entity Type | Individual
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Provider Name | SHAUNA GAUMER COEN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 8801 COMMODITY CIR
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City | ORLANDO
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State | FL
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Zip | 32819-9053
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Country | US
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Telephone | 407-248-0100
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Fax | 407-248-8364
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Provider Business Mailing Address
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Address Line | 8801 COMMODITY CIR
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City | ORLANDO
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State | FL
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Zip | 32819-9053
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Country | US
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Telephone | 407-248-0100
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Fax | 407-248-8364
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN17751
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License Number State | FL
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