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General NPI Number Information
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NPI Number | 1346019809
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Entity Type | Individual
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Provider Name | MS. PHOENIX M COLEY
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Gender | Female
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 1107 FOLSOM LN
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City | MORRISVILLE
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State | NC
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Zip | 27560-7455
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Country | US
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Telephone | 470-233-8801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 432
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City | MORRISVILLE
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State | NC
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Zip | 27560-0432
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Country | US
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Telephone | 470-233-8801
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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