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General NPI Number Information
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NPI Number | 1851702203
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Entity Type | Organization
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Legal Business Name | COLE SPORTS CHIROPRACTIC & REHAB, LLC
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 385 GARRISONVILLE RD SUITE 121 & 211
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City | STAFFORD
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State | VA
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Zip | 22554-1545
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Country | US
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Telephone | 540-242-4489
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Fax | 540-242-4731
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Provider Business Mailing Address
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Address Line | 12849 GALVESTON CT STE 328
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City | MANASSAS
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State | VA
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Zip | 20112-8676
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Country | US
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Telephone | 540-242-4489
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Fax | 540-242-4731
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA COLE
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Credential | DC
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Telephone | 540-273-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 0104556795
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License Number State | VA
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