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NPI 1740652502

NPI 1740652502 : DAVID COFER AUDIOLOGIST : CAPE CORAL, FL

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General NPI Number Information
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    NPI Number           |    1740652502
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID COFER AUDIOLOGIST
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/20/2015
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    Last Update Date     |    10/20/2015
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Provider Practice Location Address
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    Address Line         |    1419 VISCAYA PKWY 
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    City                 |    CAPE CORAL
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    State                |    FL
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    Zip                  |    33990-6206
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    Country              |    US
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    Telephone            |    239-936-1616
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1419 VISCAYA PKWY 
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    City                 |    CAPE CORAL
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    State                |    FL
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    Zip                  |    33990-6206
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    Country              |    US
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    Telephone            |    239-936-1616
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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        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    AY1459
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    License Number State |    FL
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