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General NPI Number Information
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NPI Number | 1114062122
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH COLBERT APRN, CS
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 W FOSTER ST SUITE 213
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City | MELROSE
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State | MA
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Zip | 02176-3810
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Country | US
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Telephone | 781-662-1880
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Fax | 781-662-1878
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Provider Business Mailing Address
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Address Line | 1 W FOSTER ST SUITE 213
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City | MELROSE
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State | MA
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Zip | 02176-3810
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Country | US
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Telephone | 781-662-1880
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Fax | 781-662-1878
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 161005
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License Number State | MA
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