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Individual
DR. THEODORE J COLE
Active
Individual
DR. THEODORE J COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004375C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000017595
ANTHEM
OH
01
—
0104689
UNITED HEALTHCARE
OH
01
—
0437505
HUMANA CHOICE CARE
OH
01
—
080150714
RR MCARE
OH
01
—
1537037
UMWA HEALTH AND RETIREMEN
OH
Enumeration date
12/03/2007
Last updated
01/03/2012
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