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General NPI Number Information
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NPI Number | 1669866133
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Entity Type | Individual
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Provider Name | ANGELA COKER MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 601 CHILDRENS LN
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City | NORFOLK
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State | VA
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Zip | 23507-1971
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Country | US
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Telephone | 757-668-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 601 CHILDRENS LN
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City | NORFOLK
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State | VA
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Zip | 23507-1910
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Country | US
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Telephone | 757-668-7007
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 2021-03071
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME151128
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 0101282939
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License Number State | VA
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