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General NPI Number Information
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NPI Number | 1558741025
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Entity Type | Individual
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Provider Name | SHIREE COLE
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Gender | Female
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Dates
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Enumeration Date | 05/31/2015
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Last Update Date | 05/31/2015
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Provider Practice Location Address
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Address Line | 913 W 21ST ST
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City | NORFOLK
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State | VA
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Zip | 23517-1557
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Country | US
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Telephone | 757-963-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 6422 ABERDEEN PL
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City | SUFFOLK
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State | VA
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Zip | 23435-3039
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Country | US
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Telephone |
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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