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General NPI Number Information
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NPI Number | 1578462230
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Entity Type | Individual
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Provider Name | DAVID COQUELET PTA
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2690 SW 22ND ST UNIT 3
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City | MIAMI
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State | FL
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Zip | 33145-3406
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Country | US
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Telephone | 305-615-1628
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Fax |
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Provider Business Mailing Address
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Address Line | 400 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-1434
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Country | US
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Telephone | 772-359-0547
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 34926
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License Number State | FL
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