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General NPI Number Information
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NPI Number | 1336828458
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Entity Type | Individual
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Provider Name | COLLEEN ANNE PALLA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1860 N LINCOLN ST FL 11
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City | DENVER
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State | CO
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Zip | 80203-7300
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Country | US
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Telephone | 702-423-3698
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 SERENITY RIDGE WAY
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City | FISHERVILLE
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State | KY
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Zip | 40023-7727
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Country | US
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Telephone | 217-714-8844
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0006329
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 277861
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 24501640
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License Number State | CO
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