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General NPI Number Information
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NPI Number | 1700058781
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Entity Type | Organization
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Legal Business Name | CLIFTON COLE, M.D., INC.
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Dates
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Enumeration Date | 03/30/2008
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 255 N EL CIELO RD SUITE 140-701
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6992
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Country | US
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Telephone | 760-320-6677
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Fax | 760-969-7238
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Provider Business Mailing Address
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Address Line | 255 N EL CIELO RD SUITE 140-701
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6992
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Country | US
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Telephone | 760-320-6677
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Fax | 760-969-7238
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CLIFTON COLE
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Credential | M.D.
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Telephone | 760-320-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | G48556
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G48556
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License Number State | CA
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