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General NPI Number Information
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NPI Number | 1881926350
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Entity Type | Individual
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Provider Name | BRANDI COEN PT, MPT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 1220 HEMLOCK WAY STE 202
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City | SANTA ANA
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State | CA
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Zip | 92707-3656
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Country | US
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Telephone | 714-656-2371
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Fax | 949-608-1549
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Provider Business Mailing Address
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Address Line | 17537 SANTA ELENA CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4316
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Country | US
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Telephone | 714-310-3772
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT29111
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License Number State | CA
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