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General NPI Number Information
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NPI Number | 1932099827
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Entity Type | Individual
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Provider Name | JENNIFER L. COLE APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 12300 MCCRACKEN RD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-2914
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Country | US
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Telephone | 216-584-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 600 VINEYARD DR APT 203
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-3344
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Country | US
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Telephone | 440-907-6288
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | .0039442
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0039442
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License Number State | OH
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