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General NPI Number Information
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NPI Number | 1184340598
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Entity Type | Organization
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Legal Business Name | COLBURN CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 2906 S BAGDAD RD
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City | LEANDER
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State | TX
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Zip | 78641-3268
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Country | US
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Telephone | 678-221-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 7815 HOBGOOD RD
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City | FAIRBURN
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State | GA
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Zip | 30213-2673
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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 | CHIROPRACTOR
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Name | DR. DEVIN COLBURN
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Credential | DC
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Telephone | 678-221-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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