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General NPI Number Information
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NPI Number | 1225154628
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Entity Type | Individual
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Provider Name | DAVID ALEXANDER COLVIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 747 BROADWAY
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City | SEATTLE
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State | WA
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Zip | 98122-4379
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Country | US
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Telephone | 206-215-2700
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Fax | 206-215-3101
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 13957
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A103590
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | MD60580688
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License Number State | WA
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