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General NPI Number Information
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NPI Number | 1104086032
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH COLWELL D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 10240 W INDIAN SCHOOL RD BLR 2 STE 140
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City | PHOENIX
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State | AZ
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Zip | 85037-5904
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Country | US
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Telephone | 623-846-7558
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Fax | 623-846-7041
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Provider Business Mailing Address
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Address Line | 1661 E CAMELBACK RD SUITE 205
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City | PHOENIX
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State | AZ
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Zip | 85016-3911
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Country | US
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Telephone | 602-422-9012
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Fax | 623-846-7041
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 005516
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 005516
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License Number State | AZ
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