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General NPI Number Information
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NPI Number | 1922980556
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Entity Type | Individual
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Provider Name | KRISTINA SARAHMAE COGGINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 222 GORDON ST
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City | BREMEN
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State | GA
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Zip | 30110-1519
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Country | US
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Telephone | 770-537-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 320 GORDON ST APT B
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City | BREMEN
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State | GA
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Zip | 30110-1521
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Country | US
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Telephone | 678-416-3398
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 13204
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 13204
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License Number State | GA
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