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General NPI Number Information
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NPI Number | 1285889311
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Entity Type | Individual
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Provider Name | MATTHEW MELTON COLE MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 12744 KINGSTON PIKE STE 108
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City | KNOXVILLE
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State | TN
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Zip | 37934
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Country | US
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Telephone | 658-584-0905
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Fax | 865-392-5533
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Provider Business Mailing Address
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Address Line | 1124 E WEISGARBER RD STE 104
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City | KNOXVILLE
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State | TN
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Zip | 37909-2686
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Country | US
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Telephone | 865-584-0905
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Fax | 865-584-3892
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | TP334
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4196
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD49890
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 49890
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License Number State | TN
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