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General NPI Number Information
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NPI Number | 1326364274
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Entity Type | Individual
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Provider Name | PAMELA ALLANE COLBY N.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2010
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Last Update Date | 04/18/2010
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Provider Practice Location Address
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Address Line | 755 S FAIRMONT AVE STE B
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City | LODI
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State | CA
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Zip | 95240-4643
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Country | US
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Telephone | 800-738-7303
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Fax | 800-738-7303
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Provider Business Mailing Address
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Address Line | 755 S FAIRMONT AVE STE B
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City | LODI
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State | CA
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Zip | 95240-4643
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Country | US
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Telephone | 800-738-7303
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Fax | 800-738-7303
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND-392
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License Number State | CA
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