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General NPI Number Information
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NPI Number | 1538794169
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Entity Type | Individual
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Provider Name | TINA L COEN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2020
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 1600 US HIGHWAY 79 S
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City | HENDERSON
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State | TX
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Zip | 75654-4508
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Country | US
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Telephone | 903-717-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 16728 FM 839 S
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City | HENDERSON
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State | TX
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Zip | 75654-6152
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Country | US
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Telephone | 936-615-3358
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1069901
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License Number State | TX
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