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General NPI Number Information
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NPI Number | 1821065772
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Entity Type | Individual
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Provider Name | ERIN BLAIRE COAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST STE 214
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City | KAILUA
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State | HI
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Zip | 96734-2537
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Country | US
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Telephone | 808-725-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 44-295 KANEOHE BAY DR APT 2
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City | KANEOHE
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State | HI
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Zip | 96744-2648
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Country | US
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Telephone | 808-725-0121
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0101236826
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18850
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License Number State | HI
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