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NPI 1366573677

NPI 1366573677 : ROSALINA COLE : KELLER, TX

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General NPI Number Information
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    NPI Number           |    1366573677
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    Entity Type          |    Individual 
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    Provider Name        |    ROSALINA COLE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/08/2007
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    Last Update Date     |    08/22/2013
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Provider Practice Location Address
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    Address Line         |    2122 RUFE SNOW DR STE 114 
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    City                 |    KELLER
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    State                |    TX
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    Zip                  |    76248-5691
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    Country              |    US
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    Telephone            |    817-581-9200
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    Fax                  |    817-581-9210
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Provider Business Mailing Address
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    Address Line         |    3600 FM 2181 (SWISHER RD.),#300 
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    City                 |    HICKORY CREEK
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    State                |    TX
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    Zip                  |    75065
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    Country              |    US
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    Telephone            |    940-321-1311
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    Fax                  |    940-497-1374
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    80204
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    License Number State |    TX
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