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General NPI Number Information
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NPI Number | 1952008286
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Entity Type | Individual
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Provider Name | JOHN CHRIS COLE CEP
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Gender | Male
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 511 RUIN CREEK RD
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City | HENDERSON
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State | NC
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Zip | 27536-5919
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Country | US
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Telephone | 252-436-6395
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Fax | 252-436-1472
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Provider Business Mailing Address
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Address Line | 510 WISE FIVE FORKS RD
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City | WARRENTON
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State | NC
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Zip | 27589-9529
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Country | US
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Telephone | 423-512-2648
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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 | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 1053508
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License Number State | NC
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