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General NPI Number Information
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NPI Number | 1730556994
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Entity Type | Individual
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Provider Name | TRAVIS COATS MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3 LINWA BLVD
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City | ANDERSON
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State | SC
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Zip | 29621-4486
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Country | US
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Telephone | 864-260-9910
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Fax | 864-260-0209
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-695-6697
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 86532
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 94408
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License Number State | SC
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