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General NPI Number Information
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NPI Number | 1578438339
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Entity Type | Individual
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Provider Name | MR. JAMES ROBERT COLE JR.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 500 YORK RD STE 206
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City | BALTIMORE
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State | MD
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Zip | 21204-5103
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Country | US
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Telephone | 410-205-2979
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Fax | 301-263-7894
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Provider Business Mailing Address
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Address Line | 3375 MALCOLM RD
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City | BRANDYWINE
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State | MD
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Zip | 20613-4029
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Country | US
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Telephone | 240-346-1970
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Fax | 301-263-7894
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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