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General NPI Number Information
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NPI Number | 1730261413
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Entity Type | Individual
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Provider Name | YNEZ ANN COLEMAN RN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1607 PLANTERS RD
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City | LAWRENCEVILLE
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State | VA
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Zip | 23868-3350
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Country | US
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Telephone | 434-848-9349
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Fax | 434-848-0585
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Provider Business Mailing Address
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Address Line | 279 BURNT STORE RD
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City | LA CROSSE
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State | VA
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Zip | 23950-1529
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Country | US
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Telephone | 434-447-2679
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 0001166094
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License Number State | VA
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