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General NPI Number Information
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NPI Number | 1083414767
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Entity Type | Individual
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Provider Name | CHRISTINE COLE
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Gender |
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1102 N BEQUETTE ST
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City | DODGEVILLE
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State | WI
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Zip | 53533-1116
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Country | US
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Telephone | 608-930-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 3095 STATE ROAD 39
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City | MINERAL POINT
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State | WI
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Zip | 53565-9204
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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