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General NPI Number Information
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NPI Number | 1396967188
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Entity Type | Individual
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Provider Name | DR. BARRY HILLARD COLE
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1340 PALM BAY RD NE
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City | PALM BAY
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State | FL
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Zip | 32905-3828
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Country | US
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Telephone | 321-725-9770
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Fax | 321-724-9604
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Provider Business Mailing Address
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Address Line | 3661 CARRIAGE GATE DR
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City | MELBOURNE
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State | FL
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Zip | 32904-9598
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Country | US
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Telephone | 321-727-1814
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Fax | 321-722-9502
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | FL2425
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License Number State | FL
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