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General NPI Number Information
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NPI Number | 1356742068
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Entity Type | Individual
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Provider Name | ANDREA CHRISTINE COLBURN DNP, MSN, AGACNP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1005
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City | HOUSTON
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State | TX
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Zip | 77002-8231
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Country | US
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Telephone | 281-888-0809
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Fax | 877-559-7682
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Provider Business Mailing Address
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Address Line | 4213 SILVER SPUR CT
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City | MANVEL
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State | TX
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Zip | 77578-1594
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Country | US
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Telephone | 832-622-5403
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP126513
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License Number State | TX
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