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General NPI Number Information
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NPI Number | 1457502890
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Entity Type | Organization
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Legal Business Name | NANCY J COLE PSY D P C
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 8095 E PRENTICE AVE
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2705
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Country | US
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Telephone | 303-790-5704
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Fax | 303-487-4950
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Provider Business Mailing Address
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Address Line | 8095 E PRENTICE AVE
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2705
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Country | US
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Telephone | 303-790-5704
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Fax | 303-487-4950
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY J COLE
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Credential | PSY.D.
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Telephone | 303-790-5704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 1019
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License Number State | CO
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