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General NPI Number Information
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NPI Number | 1750684957
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Entity Type | Individual
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Provider Name | AARON ROSS COFFMAN DPT
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Gender | Male
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 63 HOSPITALITY LN SUITE 1
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City | MINERAL WELLS
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State | WV
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Zip | 26150-6704
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Country | US
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Telephone | 304-489-8100
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Fax | 304-489-8191
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Provider Business Mailing Address
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Address Line | 415 36TH ST SUITE 100
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City | PARKERSBURG
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State | WV
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Zip | 26101-1005
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Country | US
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Telephone | 304-917-3660
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Fax | 304-917-3674
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT002865
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 013110
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License Number State | OH
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