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NPI 1770664880

NPI 1770664880 : SILAS COLEY JR. M.D. : CHAPEL HILL, NC

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General NPI Number Information
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    NPI Number           |    1770664880
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    Entity Type          |    Individual 
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    Provider Name        |    SILAS COLEY JR. M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    101 CONNER DR SUITE 404, WILLOWCREST BUILDING
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27514-7038
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    Country              |    US
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    Telephone            |    919-929-0326
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    Fax                  |    919-929-8033
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Provider Business Mailing Address
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    Address Line         |    815 KENMORE RD 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27514-1445
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    Country              |    US
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    Telephone            |    919-929-0326
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    Fax                  |    919-929-8033
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    14628
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    License Number State |    NC
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