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General NPI Number Information
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NPI Number | 1912497215
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Entity Type | Individual
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Provider Name | MICHAEL COLE ENGLING PT, DPT, LAT
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Gender | Male
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 268 NOLAN AVE.
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City | KAYCEE
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State | WY
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Zip | 82639
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Country | US
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Telephone | 307-738-2360
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Fax |
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Provider Business Mailing Address
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Address Line | 497 W LOTT ST
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City | BUFFALO
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State | WY
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Zip | 82834-1658
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Country | US
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Telephone | 307-684-6276
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Fax | 307-684-6258
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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 | PT-1238
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License Number State | WY
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