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General NPI Number Information
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NPI Number | 1538049598
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Entity Type | Organization
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Legal Business Name | COLIN HAMBLIN, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 599 SIR FRANCES DRAKE BLVD SUITE 206A
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City | GREENBRAE
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State | CA
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Zip | 94904
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Country | US
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Telephone | 415-663-1082
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Fax | 415-663-9474
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Provider Business Mailing Address
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Address Line | PO BOX 240
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City | POINT REYES STATION
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State | CA
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Zip | 94956
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Country | US
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Telephone | 415-663-1082
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Fax | 415-663-9474
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Authorized Official
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Title or Position | PRESIDENT
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Name | BASIL COLIN HAMBLIN
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Credential | MD
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Telephone | 415-663-1082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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