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General NPI Number Information
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NPI Number | 1629287644
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL COLE LMHC, RD, LDN
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 3411 NW 9TH AVE SUITE 704
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5946
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Country | US
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Telephone | 954-200-3607
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 NE 21ST TER
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1219
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Country | US
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Telephone | 954-200-3607
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH7315
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND39
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License Number State | FL
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