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Individual
DR. JOHN RAYMOND COLEMAN
Active
Individual
DR. JOHN RAYMOND COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU683
CA
237700000X
Hearing Instrument Specialist
HA1691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AM896Y
PTAN
CA
01
—
AM896Z
INDIVIDUAL PTAN
CA
01
—
AU0006830
MEDI-CAL #
CA
01
—
AU683
STATE AUDIOLOGY LICENSE
CA
01
—
HA 1691
HEARING AID DISPENSING
CA
01
—
W15940
GROUP PTAN
CA
01
—
W8109
GROUP PTAN
CA
Enumeration date
08/03/2005
Last updated
02/04/2009
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