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General NPI Number Information
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NPI Number | 1447003801
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Entity Type | Individual
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Provider Name | COLE FONTES RN
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Gender | Male
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 604 PEARL ST
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City | MONTEREY
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State | CA
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Zip | 93940-3070
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Country | US
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Telephone | 831-649-4522
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Fax |
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Provider Business Mailing Address
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Address Line | 3768 VISTA DR
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City | SOQUEL
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State | CA
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Zip | 95073-2325
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Country | US
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Telephone | 831-431-3948
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95345163
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License Number State | CA
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