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General NPI Number Information
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NPI Number | 1275442261
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Entity Type | Individual
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Provider Name | COLE CARY
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Gender | Male
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 123 VILLAGE AT GLYNN PL
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City | BRUNSWICK
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State | GA
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Zip | 31525-1952
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Country | US
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Telephone | 912-208-5170
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Fax |
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Provider Business Mailing Address
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Address Line | 800 MALLERY ST APT 30
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City | SAINT SIMONS ISLAND
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State | GA
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Zip | 31522-4039
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Country | US
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Telephone | 321-446-6206
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018623
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License Number State | GA
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