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General NPI Number Information
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NPI Number | 1518038777
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Entity Type | Individual
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Provider Name | MICHELLE R COATS DC
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 15027 W BELL RD SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374-3216
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Country | US
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Telephone | 623-215-4107
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Fax |
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Provider Business Mailing Address
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Address Line | 15027 W BELL RD SUITE 100
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City | SURPRISE
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State | AZ
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Zip | 85374-3216
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Country | US
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Telephone | 623-215-4107
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 7436
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 4122
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License Number State | AZ
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