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General NPI Number Information
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NPI Number | 1275965303
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Entity Type | Individual
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Provider Name | CRISTA J COLBY
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 8 ATWOOD DR
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4272
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Country | US
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Telephone | 413-552-0471
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E MAIN ST APT 8
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City | ORANGE
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State | MA
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Zip | 01364-1235
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Country | US
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Telephone | 413-582-0471
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 042206041
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License Number State | MA
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