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General NPI Number Information
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NPI Number | 1558073585
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Entity Type | Organization
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Legal Business Name | ANDREA L COLE MIDWIFERY PC
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1016 WEST ST
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City | CARTHAGE
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State | NY
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Zip | 13619-9761
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Country | US
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Telephone | 315-408-9303
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Fax | 315-221-9579
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Provider Business Mailing Address
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Address Line | 1002 WEST ST
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City | CARTHAGE
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State | NY
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Zip | 13619-9761
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Country | US
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Telephone | 315-408-9303
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Fax | 315-221-9579
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA LYNN COLE
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Credential | CNM
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Telephone | 315-408-9303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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