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General NPI Number Information
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NPI Number | 1821482647
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Entity Type | Individual
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Provider Name | SABRINA COLE MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 261 M 62
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City | CASSOPOLIS
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State | MI
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Zip | 49031-1034
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Country | US
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Telephone | 694-453-8742
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Fax |
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Provider Business Mailing Address
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Address Line | 76940 TERRITORIAL RD
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City | DECATUR
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State | MI
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Zip | 49045-9121
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Country | US
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Telephone | 269-967-9227
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301509462
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License Number State | MI
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