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General NPI Number Information
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NPI Number | 1508346529
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Entity Type | Individual
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Provider Name | COLE CLINTON HOWELL MD, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 101 NICOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-3878
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Country | US
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Telephone | 631-689-8333
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Fax |
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Provider Business Mailing Address
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Address Line | SUNY STONY BROOK MEDICINE HSC T-18 ROOM 089
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City | STONY BROOK
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State | NY
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Zip | 11794-8181
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Country | US
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Telephone | 631-444-1487
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27086
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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