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General NPI Number Information
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NPI Number | 1750521597
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Entity Type | Organization
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Legal Business Name | JAMES H COLSON DDS, PA
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 123 SUNNYBROOK RD SUITE 100
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City | RALEIGH
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State | NC
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Zip | 27610-1827
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Country | US
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Telephone | 919-231-6053
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Fax | 919-231-8085
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Provider Business Mailing Address
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Address Line | 123 SUNNYBROOK RD SUITE 100
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City | RALEIGH
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State | NC
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Zip | 27610-1827
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Country | US
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Telephone | 919-231-6053
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Fax | 919-231-8085
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMES HENRY COLSON SR.
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Credential | DR.
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Telephone | 919-231-6053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 3540
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License Number State | NC
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