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General NPI Number Information
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NPI Number | 1639976962
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Entity Type | Organization
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Legal Business Name | TRINA COLBURN
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 4411 POINT FOSDICK DR
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City | GIG HARBOR
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State | WA
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Zip | 98335-1703
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Country | US
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Telephone | 253-220-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 N PROCTOR ST
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City | TACOMA
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State | WA
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Zip | 98407-5433
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Country | US
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Telephone | 253-740-2689
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRINA COLBURN
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Credential |
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Telephone | 253-740-2689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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