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General NPI Number Information
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NPI Number | 1053427658
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Entity Type | Organization
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Legal Business Name | JOE L. COLE, M.D., P.A.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 8001 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2628
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Country | US
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Telephone | 210-930-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2628
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Country | US
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Telephone | 210-930-0440
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOE L COLE
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Credential | M.D.
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Telephone | 210-930-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | F1464
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License Number State | TX
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