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General NPI Number Information
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NPI Number | 1477273233
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Entity Type | Organization
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Legal Business Name | COLE CREATIVE & MEDICAL ARTS, PLLC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 6304 HEINEMAN COURT
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City | ROWLETT
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State | TX
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Zip | 75089-0188
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Country | US
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Telephone | 214-288-8981
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Fax | 833-471-4886
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Provider Business Mailing Address
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Address Line | 6304 HEINEMAN COURT
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City | ROWLETT
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State | TX
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Zip | 75089-0188
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Country | US
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Telephone | 214-288-8981
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Fax | 833-471-4886
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Authorized Official
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Title or Position | OWNER
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Name | HEIDI JO COLE
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Credential | PA-C
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Telephone | 945-426-8057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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