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General NPI Number Information
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NPI Number | 1427212356
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Entity Type | Individual
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Provider Name | TAMMY LYNN COLON MSOTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY SUITE 2313
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City | LOUISVILLE
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State | KY
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Zip | 40217-1417
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Country | US
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Telephone | 502-309-9800
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Fax | 502-309-9797
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax | 812-473-5822
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | KY-R3839
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License Number State | KY
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