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General NPI Number Information
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NPI Number | 1518759133
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Entity Type | Individual
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Provider Name | DANIEL EDWARD COLE MA, LLPC
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2220 WEALTHY ST SE
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City | EAST GRAND RAPIDS
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State | MI
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Zip | 49506-3016
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Country | US
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Telephone | 616-277-7533
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Fax |
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Provider Business Mailing Address
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Address Line | 616 VETO ST NW UNIT 2
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-6310
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Country | US
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Telephone | 616-450-8389
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451024288
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License Number State | MI
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