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NPI Code Detail

MEDICARE: DR. DANIEL COLEMAN PHD

MEDICARE:  DR. DANIEL  COLEMAN  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251X00000XSupports Brokerage Agency

General Provider Information

NPI Number : 1679339204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL COLEMAN PHD
Provider Business Mailing Address
First Line : 2484 DEERCOVE CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-8038
Country : US
Telephone Number : 614-638-1613
Fax Number :
Provider Business Practice Location Address
First Line : 2484 DEERCOVE CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-8038
Country : US
Telephone Number : 614-638-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2024
Last Update Date : 02/21/2024

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Directions to “ DR. DANIEL COLEMAN PHD” Practice Location

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