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General NPI Number Information
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NPI Number | 1548616212
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Entity Type | Organization
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Legal Business Name | COLA & ASSOCIATES DERMATOLOGY PC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 933 N CHARLOTTE ST STE 2D
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City | POTTSTOWN
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State | PA
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Zip | 19464-3974
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Country | US
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Telephone | 610-850-9292
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Fax | 610-850-9291
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Provider Business Mailing Address
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Address Line | PO BOX 41
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City | BOYERTOWN
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State | PA
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Zip | 19512-0041
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Country | US
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Telephone | 610-369-9073
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL COLA
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Credential | D.O.
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Telephone | 610-850-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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