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General NPI Number Information
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NPI Number | 1902158082
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Entity Type | Individual
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Provider Name | AMANDA COFFEY PHD, BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 4601 MEDICAL CENTER DR STE F
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City | MCKINNEY
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State | TX
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Zip | 75069
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Country | US
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Telephone | 469-731-0957
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Fax | 214-291-5611
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Provider Business Mailing Address
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Address Line | 11008 HERMITAGE LN
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City | FRISCO
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State | TX
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Zip | 75035-7635
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Country | US
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Telephone | 214-862-5216
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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