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General NPI Number Information
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NPI Number | 1801101886
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Entity Type | Individual
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Provider Name | BENJAMIN B. COLE O.D
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Gender | Male
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 114 N KANSAS AVE
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City | NORTON
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State | KS
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Zip | 67654-2039
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Country | US
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Telephone | 785-877-5115
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Fax |
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Provider Business Mailing Address
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Address Line | 114 N KANSAS AVE
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City | NORTON
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State | KS
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Zip | 67654-2039
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Country | US
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Telephone | 785-877-5115
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2946
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1865
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License Number State | KS
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