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General NPI Number Information
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NPI Number | 1922192889
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Entity Type | Individual
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Provider Name | SHERI L COATNEY OD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 1979 MARCUS AVE STE 206
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City | LAKE SUCCESS
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State | NY
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Zip | 11042
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Country | US
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Telephone | 877-506-0002
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 280
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City | ALLEGANY
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State | NY
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Zip | 14706
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Country | US
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Telephone | 716-378-8563
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T005579
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 19171-875
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 00001797
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TP0P50
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003120
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License Number State | MI
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