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General NPI Number Information
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NPI Number | 1760506190
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Entity Type | Individual
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Provider Name | STEPHEN COLMANT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 1960 N DATE ST
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City | TRUTH OR CONSEQUENCES
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State | NM
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Zip | 87901-3701
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Country | US
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Telephone | 575-894-7662
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Fax | 575-894-7930
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | HATCH
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State | NM
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Zip | 87937-0370
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Country | US
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Telephone | 575-267-3280
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Fax | 575-267-1747
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3340
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | 0054C
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1330
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License Number State | NM
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