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General NPI Number Information
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NPI Number | 1144373739
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Entity Type | Individual
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Provider Name | GEOFFREY P. COLBY M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 300 MEDICAL PLAZA
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-825-5111
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Fax | 310-825-7245
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Provider Business Mailing Address
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Address Line | PO BOX 22224
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City | BELFAST
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State | ME
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Zip | 04915-4473
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Country | US
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Telephone | 884-027-2568
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Fax | 888-902-1099
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 74356
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A149100
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License Number State | CA
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