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General NPI Number Information
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NPI Number | 1316413438
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Entity Type | Organization
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Legal Business Name | COOLMED PLLC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 525 OAK CENTRE DR STE 230
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3916
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Country | US
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Telephone | 210-463-9230
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BRANDT RD
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City | BOERNE
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State | TX
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Zip | 78006-5707
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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 | OWNER
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Name | MELISSA COOLEY
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Credential | DNP
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Telephone | 210-365-7561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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