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General NPI Number Information
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NPI Number | 1174808422
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Entity Type | Individual
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Provider Name | ANNIE COLLINS COLE-BRADLEY APRN, DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 3355 CHAD DR
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City | EUGENE
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State | OR
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Zip | 97408-7428
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Country | US
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Telephone | 541-530-5515
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Fax | 541-607-7467
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Provider Business Mailing Address
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Address Line | 3355 CHAD DR
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City | EUGENE
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State | OR
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Zip | 97408-7428
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Country | US
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Telephone | 541-530-5515
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Fax | 541-607-7431
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201910139NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2019099997RN
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License Number State | OR
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