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General NPI Number Information
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NPI Number | 1053829879
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Entity Type | Organization
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Legal Business Name | PROTOCOL INTELLIGENCE INC.
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Dates
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Enumeration Date | 01/15/2018
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Last Update Date | 01/15/2018
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Provider Practice Location Address
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Address Line | 3210 MERRYFIELD ROW
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City | SAN DIEGO
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State | CA
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Zip | 92121-1126
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Country | US
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Telephone | 858-242-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 MERRYFIELD ROW
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City | SAN DIEGO
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State | CA
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Zip | 92121-1126
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Country | US
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Telephone | 858-242-1560
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY ALAN COLBORN
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Credential | PHD
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Telephone | 760-497-9718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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