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General NPI Number Information
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NPI Number | 1871808667
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Entity Type | Individual
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Provider Name | KATHLEEN COLE DPT
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Gender | Female
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 161 CORPORATE DR STE B
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City | PORTSMOUTH
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State | NH
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Zip | 03801-6825
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Country | US
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Telephone | 603-501-0581
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Fax | 603-501-0793
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Provider Business Mailing Address
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Address Line | 73 NEWTON RD STE 101
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City | PLAISTOW
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State | NH
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Zip | 03865-2424
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Country | US
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Telephone | 978-388-7272
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 19195
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4125
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3851
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License Number State | NH
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