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General NPI Number Information
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NPI Number | 1740407238
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Entity Type | Individual
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Provider Name | JULIE RAY COON LPN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 227 CLAY RD
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City | SPENCER
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State | WV
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Zip | 25276-6906
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Country | US
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Telephone | 304-927-5200
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Fax | 304-927-5201
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Provider Business Mailing Address
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Address Line | 435 W MAIN ST
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City | SPENCER
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State | WV
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Zip | 25276-1133
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Country | US
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Telephone | 304-927-5395
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 27027
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License Number State | WV
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