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General NPI Number Information
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NPI Number | 1558445031
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Entity Type | Individual
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Provider Name | JEFFREY CHARLES COY DC
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3052 NORTHPARK DR
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City | KINGWOOD
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State | TX
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Zip | 77345
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Country | US
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Telephone | 281-359-5333
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Fax | 281-361-7687
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Provider Business Mailing Address
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Address Line | 3052 NORTHPARK DR
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City | KINGWOOD
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State | TX
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Zip | 77345
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Country | US
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Telephone | 281-359-5333
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Fax | 281-361-7687
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | TX4423
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08001063
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC542
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License Number State | TN
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