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General NPI Number Information
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NPI Number | 1932469590
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Entity Type | Organization
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Legal Business Name | COIF-SOE INC
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 329 N HIGHWAY 67 STE 150
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City | CEDAR HILL
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State | TX
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Zip | 75104-2187
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Country | US
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Telephone | 972-291-2525
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Fax | 972-291-2524
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Provider Business Mailing Address
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Address Line | 329 N HIGHWAY 67 STE 150
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City | CEDAR HILL
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State | TX
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Zip | 75104-2187
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Country | US
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Telephone | 972-291-2525
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Fax | 972-291-2524
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Authorized Official
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Title or Position | PRESIDENT
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Name | IJEOMA AMADI
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Credential |
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Telephone | 972-291-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 28048
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 28048
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28048
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License Number State | TX
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