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General NPI Number Information
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NPI Number | 1518452184
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Entity Type | Individual
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Provider Name | COLLEEN LYNN CULBERTSON
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1930 NE 47TH ST STE 308
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City | FT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-493-5005
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Fax | 954-938-0957
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Provider Business Mailing Address
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Address Line | 23540 FREDERICK RD
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City | CLARKSBURG
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State | MD
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Zip | 20871-9709
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Country | US
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Telephone | 512-731-3360
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN9495059
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License Number State | FL
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