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General NPI Number Information
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NPI Number | 1508466244
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Entity Type | Organization
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Legal Business Name | ADAM COLBERT MD, PLLC
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1200 N EL DORADO PL STE D420
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City | TUCSON
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State | AZ
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Zip | 85715-4637
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Country | US
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Telephone | 281-622-6772
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Fax | 520-300-7388
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Provider Business Mailing Address
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Address Line | 1200 N EL DORADO PL STE D420
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City | TUCSON
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State | AZ
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Zip | 85715-4637
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Country | US
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Telephone | 520-442-3422
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Fax | 520-300-7388
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | ADAM GRANT COLBERT
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Credential | MD
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Telephone | 281-622-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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