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General NPI Number Information
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NPI Number | 1538106000
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Entity Type | Individual
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Provider Name | CECILIA ANN COLOMBEL NP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 7475 UNION PARK AVE
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City | MIDVALE
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State | UT
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Zip | 84047-1811
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Country | US
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Telephone | 801-566-2502
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Fax | 801-566-2535
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Provider Business Mailing Address
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Address Line | 990 E SOUTH UNION AVE #31
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City | MIDVALE
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State | UT
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Zip | 84047
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Country | US
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Telephone | 801-759-2013
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 5886409-8900
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License Number State | UT
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