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General NPI Number Information
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NPI Number | 1437459633
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Entity Type | Individual
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Provider Name | JENNETTE A COLE APRN, CFNP, MSN, RNC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 10511 GOLF COURSE RD NW SUITE 103
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-5916
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Country | US
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Telephone | 505-232-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 BRIGHTON HILLS DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-0823
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Country | US
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Telephone | 505-301-3316
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP-01691
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License Number State | NM
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