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General NPI Number Information
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NPI Number | 1710994140
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Entity Type | Individual
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Provider Name | CAROLYN F COLE PH.D
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1616 18TH ST NW SUITE 105
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City | WASHINGTON
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State | DC
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Zip | 20009-2530
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Country | US
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Telephone | 202-232-1031
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6338
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City | WASHINGTON
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State | DC
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Zip | 20015-0338
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Country | US
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Telephone | 202-232-1031
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Fax | 301-585-6526
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810001315
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1000145
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 02047
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License Number State | MD
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