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General NPI Number Information
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NPI Number | 1871522615
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Entity Type | Individual
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Provider Name | STEPHEN E COFFEY ARNP
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Gender | Male
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 2 GREAT FALLS PLZ 3RD FLOOR
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City | AUBURN
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State | ME
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Zip | 04210-5966
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Country | US
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Telephone | 207-782-4022
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Fax | 207-784-3537
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Provider Business Mailing Address
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Address Line | 2 GREAT FALLS PLZ 3RD FLOOR
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City | AUBURN
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State | ME
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Zip | 04210-5966
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Country | US
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Telephone | 207-782-4022
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Fax | 207-784-3537
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 046392-23-05
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP151098
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License Number State | ME
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