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General NPI Number Information
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NPI Number | 1366391658
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Entity Type | Individual
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Provider Name | KEVIN EDWARD COLBERT RN
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Gender |
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2811 QUEENS PLZ N FL 5
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4172
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Country | US
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Telephone | 718-391-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W 43RD ST APT 1
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City | NEW YORK
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State | NY
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Zip | 10036-5348
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Country | US
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Telephone | 646-932-3162
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 701597
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 701597
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License Number State | NY
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