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General NPI Number Information
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NPI Number | 1780719294
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Entity Type | Individual
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Provider Name | MICHAEL JUSTIN COFFEY MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 83 FROSTY HILLS DR
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City | DANVILLE
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State | PA
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Zip | 17821-9144
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Country | US
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Telephone | 734-545-0922
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Fax |
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Provider Business Mailing Address
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Address Line | 83 FROSTY HILLS DR
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City | DANVILLE
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State | PA
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Zip | 17821-9144
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Country | US
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Telephone | 734-545-0922
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Fax | 212-901-0943
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD466770
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301088120
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1014623
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 70357
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q2531
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License Number State | TX
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