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NPI 1487650305

NPI 1487650305 : JOEL E. COLLEY M.D. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1487650305
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL E. COLLEY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/24/2005
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    Last Update Date     |    05/02/2025
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Provider Practice Location Address
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    Address Line         |    PO BOX 13286 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85267-3286
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    Country              |    US
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    Telephone            |    480-215-6819
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    Fax                  |    901-682-9316
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Provider Business Mailing Address
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    Address Line         |    PO BOX 13286 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85267-3286
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    Country              |    US
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    Telephone            |    480-215-6819
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    Fax                  |    901-682-9316
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    101368
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    39260
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    License Number State |    OK
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    E0861
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    15070
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    License Number State |    AZ
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