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General NPI Number Information
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NPI Number | 1699716472
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Entity Type | Individual
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Provider Name | COLLEEN MARY HEALY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 5650 GULF OF MEXICO DR
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City | LONGBOAT KEY
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State | FL
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Zip | 34228-1906
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Country | US
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Telephone | 941-383-7300
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Fax | 941-383-7335
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Provider Business Mailing Address
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Address Line | 5650 GULF OF MEXICO DR
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City | LONGBOAT KEY
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State | FL
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Zip | 34228-1906
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Country | US
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Telephone | 941-383-7300
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Fax | 941-383-7335
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME51094
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License Number State | FL
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