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General NPI Number Information
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NPI Number | 1033923818
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Entity Type | Individual
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Provider Name | JORDAN SAGE COLBERT RDN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 5880 RAND BLVD STE 102
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City | SARASOTA
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State | FL
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Zip | 34238-5118
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Country | US
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Telephone | 941-917-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 2280 LINWOOD DR
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City | SARASOTA
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State | FL
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Zip | 34232-4212
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND12695
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License Number State | FL
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