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General NPI Number Information
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NPI Number | 1588050330
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Entity Type | Organization
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Legal Business Name | DR. BARRY S. COLE, DDS, PA
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 1560 HIGHWAY 287 N SUITE 100
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City | MANSFIELD
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State | TX
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Zip | 76063-8824
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Country | US
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Telephone | 817-473-3010
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Fax | 817-473-1888
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Provider Business Mailing Address
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Address Line | 1560 HIGHWAY 287 N SUITE 100
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City | MANSFIELD
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State | TX
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Zip | 76063-8824
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Country | US
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Telephone | 817-473-3010
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Fax | 817-473-1888
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Authorized Official
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Title or Position | DENTIST
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Name | BARRY COLE
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Credential |
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Telephone | 817-473-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16689
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License Number State | TX
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