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General NPI Number Information
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NPI Number | 1275755142
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Entity Type | Individual
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Provider Name | COLLEEN MARIE PINCH N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 3020 14TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20009-6865
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Country | US
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Telephone | 508-369-5610
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Fax | 415-796-3841
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Provider Business Mailing Address
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Address Line | 1816 NEW HAMPSHIRE AVE NW APT 210
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City | WASHINGTON
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State | DC
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Zip | 20009-3238
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Country | US
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Telephone | 508-369-5610
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 208476
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95013653
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License Number State | CA
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