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General NPI Number Information
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NPI Number | 1851435184
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Entity Type | Individual
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Provider Name | JENNIFER E COLES M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 1514 N 2ND ST
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City | HARRISBURG
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State | PA
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Zip | 17102-2505
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Country | US
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Telephone | 610-481-0481
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Fax | 610-481-0486
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Provider Business Mailing Address
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Address Line | PO BOX 813
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City | TREXLERTOWN
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State | PA
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Zip | 18087-0813
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Country | US
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Telephone | 610-481-0481
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Fax | 610-481-0486
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | P17480
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License Number State | MD
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