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General NPI Number Information
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NPI Number | 1336262948
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Entity Type | Individual
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Provider Name | DEAN L COLWELL DO
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5100 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1607
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Country | US
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Telephone | 614-544-2061
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Fax | 614-544-1750
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Provider Business Mailing Address
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Address Line | 1299 OLENTANGY RIVER RD #103
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City | COLUMBUS
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State | OH
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Zip | 43212-3135
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Country | US
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Telephone | 614-566-4278
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Fax | 614-566-5424
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 34002029
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License Number State | OH
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