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General NPI Number Information
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NPI Number | 1851735377
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Entity Type | Individual
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Provider Name | COLE ROBERT LINVILLE D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 7207 GOLDEN WINGS RD STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32244-3324
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Country | US
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Telephone | 904-389-1010
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Fax | 904-389-1082
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Provider Business Mailing Address
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Address Line | 1120 NW 14 ST SUITE 955
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone |
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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 | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS14807
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License Number State | FL
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