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General NPI Number Information
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NPI Number | 1366193443
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Entity Type | Individual
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Provider Name | KATHY LEE COLE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1051 CLAYPOOL HILL MALL RD
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City | CEDAR BLUFF
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State | VA
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Zip | 24609-8203
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Country | US
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Telephone | 276-701-7389
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Fax | 276-345-4150
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Provider Business Mailing Address
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Address Line | 1051 CLAYPOOL HILL MALL RD STE 20
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City | CEDAR BLUFF
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State | VA
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Zip | 24609-8200
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Country | US
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Telephone | 276-345-4688
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Fax | 246-304-4150
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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 | 0024183449
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License Number State | VA
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