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General NPI Number Information
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NPI Number | 1659955474
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Entity Type | Individual
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Provider Name | MATTHEW COYNE MD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 200 NAT WASHINGTON WAY
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City | EPHRATA
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State | WA
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Zip | 98823-1997
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Country | US
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Telephone | 509-754-4631
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 33RD ST
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City | ANACORTES
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State | WA
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Zip | 98221-2633
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Country | US
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Telephone | 425-263-1271
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD61561462
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License Number State | WA
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