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General NPI Number Information
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NPI Number | 1932124856
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Entity Type | Organization
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Legal Business Name | DR JAMES COANE
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 301 S STATE STREET SUITE S101
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 215-504-4505
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Fax | 215-504-4104
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Provider Business Mailing Address
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Address Line | 301 S STATE STREET SUITE S101
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 215-504-4505
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Fax | 215-504-4104
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JAMES I COANE
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Credential | PSY D
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Telephone | 215-504-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS002947L
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License Number State | PA
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