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General NPI Number Information
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NPI Number | 1578511440
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Entity Type | Individual
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Provider Name | BRETT COLE L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 1115 W. HAR-BER ROAD
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City | GROVE
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State | OK
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Zip | 74345-1385
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Country | US
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Telephone | 918-786-4434
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Fax | 918-786-4435
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Provider Business Mailing Address
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Address Line | 820 CHATSWORTH DR
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City | GROVE
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State | OK
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Zip | 74344-3800
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Country | US
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Telephone | 918-868-4651
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Fax | 918-786-4435
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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 | 1044
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License Number State | KS
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