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General NPI Number Information
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NPI Number | 1033676366
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Entity Type | Individual
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Provider Name | JUDITH COFFEY COLE NP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 321 W 125TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10027-3649
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Country | US
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Telephone | 212-289-2378
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Fax |
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Provider Business Mailing Address
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Address Line | 290 MALCOLM X BLVD LOWR LEVEL
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City | NEW YORK
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State | NY
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Zip | 10027-4991
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Country | US
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Telephone | 212-289-2378
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421380
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 309036
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License Number State | NY
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