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General NPI Number Information
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NPI Number | 1548064538
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Entity Type | Individual
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Provider Name | ELENA COLOMBE
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 2162 E WILLIAMS FIELD RD STE SUITE111
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City | GILBERT
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State | AZ
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Zip | 85295-0735
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Country | US
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Telephone | 602-919-2852
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1618
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City | GILBERT
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State | AZ
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Zip | 85299-1618
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Country | US
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Telephone |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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