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General NPI Number Information
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NPI Number | 1184684235
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Entity Type | Individual
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Provider Name | DONALD S COLBOURN MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 51 W 51ST ST SUITE 200
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City | NEW YORK
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State | NY
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Zip | 10019-6113
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Country | US
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Telephone | 212-326-5723
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST BOX 4
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 212-342-5155
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Fax | 530-626-6603
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 00G654860
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License Number State | CA
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