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General NPI Number Information
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NPI Number | 1154135598
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Entity Type | Organization
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Legal Business Name | COLBAR HEALTHCARE SOLUTIONS PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 402 W BOUGHTON RD STE D
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1985
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Country | US
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Telephone | 630-312-8165
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 CHURCHILL DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-1408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERWONNA BARRON
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Credential |
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Telephone | 630-723-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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