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General NPI Number Information
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NPI Number | 1205511714
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Entity Type | Individual
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Provider Name | COLBY JOHN PATTON DMD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 6109 E HIGHWAY 191
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City | ODESSA
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State | TX
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Zip | 79762-5348
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Country | US
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Telephone | 432-272-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 E GILLESPIE LN
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City | ODESSA
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State | TX
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Zip | 79765-8612
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Country | US
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Telephone | 775-934-3802
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7833
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 41913
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License Number State | TX
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