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General NPI Number Information
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NPI Number | 1568716363
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Entity Type | Organization
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Legal Business Name | CAROLINE M COLIN, MD PC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 2021 SANTA MONICA BLVD SUITE 304-E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2208
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Country | US
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Telephone | 310-829-0080
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Fax | 310-829-0090
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Provider Business Mailing Address
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Address Line | 2021 SANTA MONICA BLVD SUITE 304-E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2208
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Country | US
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Telephone | 310-829-0080
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Fax | 310-829-0090
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. CAROLINE MARIE COLIN
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Credential | M.D.
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Telephone | 310-829-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A91499
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License Number State | CA
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