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General NPI Number Information
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NPI Number | 1679672265
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Entity Type | Individual
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Provider Name | KATHLEEN ANN COYLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1601 PERDIDO ST ROOM 10G128
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City | NEW ORLEANS
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State | LA
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Zip | 70112-1262
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Country | US
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Telephone | 504-568-0811
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Fax | 504-310-6200
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Provider Business Mailing Address
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Address Line | 854 S CLEARVIEW PKWY #318
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City | RIVER RIDGE
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State | LA
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Zip | 70123-6310
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Country | US
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Telephone | 504-975-3630
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 025443
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License Number State | LA
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