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General NPI Number Information
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NPI Number | 1578245411
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Entity Type | Organization
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Legal Business Name | CINDY COENEN LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 4725 MERLE HAY RD STE 106
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City | DES MOINES
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State | IA
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Zip | 50322-1983
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Country | US
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Telephone | 515-478-9502
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Fax | 833-973-4175
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Provider Business Mailing Address
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Address Line | 885 NE 58TH AVE
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City | DES MOINES
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State | IA
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Zip | 50313-1568
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Country | US
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Telephone | 515-975-1113
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | CYNTHIA ANN COENEN
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Credential | PMHNP-BC
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Telephone | 515-478-9502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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