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General NPI Number Information
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NPI Number | 1700926318
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Entity Type | Individual
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Provider Name | PATRICIA J COLE PHD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 109 E 3RD AVE STE 7
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City | ELLENSBURG
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State | WA
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Zip | 98926-3357
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Country | US
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Telephone | 509-306-9670
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 E 14TH AVE
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City | ELLENSBURG
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State | WA
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Zip | 98926-5127
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Country | US
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Telephone | 509-899-2600
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 00001734
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License Number State | WA
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