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General NPI Number Information
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NPI Number | 1558748426
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Entity Type | Individual
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Provider Name | DAVID JAMES COLEMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 375 S END AVE OFC B
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City | NEW YORK
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State | NY
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Zip | 10280-1014
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Country | US
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Telephone | 917-574-4914
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Fax |
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Provider Business Mailing Address
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Address Line | 235 PAVONIA AVE UNIT 763
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City | JERSEY CITY
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State | NJ
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Zip | 07302-1777
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Country | US
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Telephone | 917-574-4914
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS040565
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 060254
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License Number State | NY
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