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NPI 1417717315

NPI 1417717315 : COLBY RAYMOND NEUMANN DO : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1417717315
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    Entity Type          |    Individual 
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    Provider Name        |    COLBY RAYMOND NEUMANN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/20/2024
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    2001 W 86TH ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46260-1902
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    Country              |    US
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    Telephone            |    317-338-6399
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    Fax                  |    317-338-6359
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Provider Business Mailing Address
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    Address Line         |    1 HOSPITAL DR # DC069.10 
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    City                 |    COLUMBIA
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    State                |    MO
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    Zip                  |    65212-1000
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    Country              |    US
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    Telephone            |    573-882-1026
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    Fax                  |    573-884-8524
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    2025020790
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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