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General NPI Number Information
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NPI Number | 1053216838
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Entity Type | Individual
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Provider Name | COLE BASILE STEIN ATC, LAT, MSAT
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Gender | Male
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 9601 GERMANTOWN AVE # 20
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2643
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Country | US
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Telephone | 215-753-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 HICKORY RD
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1006
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Country | US
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Telephone | 267-973-1300
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT008490
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License Number State | PA
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