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General NPI Number Information
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NPI Number | 1225587165
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Entity Type | Organization
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Legal Business Name | COLOWELL AMERICA LLC
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2313 W VIOLET ST STE A
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City | TAMPA
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State | FL
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Zip | 33603-1421
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Country | US
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Telephone | 813-278-6430
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Fax | 855-832-3509
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Provider Business Mailing Address
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Address Line | 2313 W VIOLET ST STE A
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City | TAMPA
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State | FL
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Zip | 33603-1421
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Country | US
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Telephone | 813-278-6430
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Fax | 855-832-3509
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Authorized Official
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Title or Position | SURGEON/PRESIDENT
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Name | SHIRAZ FAROOQ
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Credential | MD
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Telephone | 813-278-6430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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