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General NPI Number Information
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NPI Number | 1790004554
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Entity Type | Organization
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Legal Business Name | RUSSELL D COLE MD PC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 10300 BAILEY COVE RD SE STE 13
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City | HUNTSVILLE
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State | AL
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Zip | 35803-2635
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Country | US
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Telephone | 256-880-6138
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Fax | 256-881-4619
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Provider Business Mailing Address
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Address Line | 10300 BAILEY COVE RD SE STE 13
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City | HUNTSVILLE
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State | AL
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Zip | 35803-2635
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Country | US
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Telephone | 256-880-6138
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Fax | 256-881-4619
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Authorized Official
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Title or Position | MD/OWNER
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Name | RUSSELL D COLE
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Credential | MD
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Telephone | 256-880-6138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD30120
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License Number State | AL
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