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General NPI Number Information
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NPI Number | 1649710310
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Entity Type | Organization
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Legal Business Name | JAMIE P COFFEY DPM PC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 2550 E GUADALUPE RD SUITE 106
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City | GILBERT
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State | AZ
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Zip | 85234-5114
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Country | US
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Telephone | 480-892-3180
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Fax | 480-892-1891
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Provider Business Mailing Address
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Address Line | 2550 E GUADALUPE RD STE 106
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City | GILBERT
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State | AZ
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Zip | 85234-5114
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Country | US
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Telephone | 480-892-3180
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Fax | 480-892-1891
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE P COFFEY
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Credential | DPM
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Telephone | 480-892-3180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 265
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License Number State | AZ
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