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General NPI Number Information
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NPI Number | 1144260837
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Entity Type | Individual
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Provider Name | DEBORAH MCCOLLUM M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 6611 W AMARILLO BLVD
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City | AMARILLO
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State | TX
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Zip | 79106-1755
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Country | US
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Telephone | 806-212-4535
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Fax | 806-212-4555
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Provider Business Mailing Address
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Address Line | PO BOX 840026
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City | DALLAS
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State | TX
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Zip | 75284-0026
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Country | US
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Telephone | 806-212-6965
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Fax | 806-212-6278
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | J8313
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License Number State | TX
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