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General NPI Number Information
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NPI Number | 1801263439
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Entity Type | Individual
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Provider Name | COLBIE CROSS NORMENT PA
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Gender | Female
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 305 W 20TH ST
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City | MT PLEASANT
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State | TX
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Zip | 75455-2327
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Country | US
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Telephone | 903-939-7500
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Fax | 903-939-7728
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Provider Business Mailing Address
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Address Line | 3414 GOLDEN RD
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City | TYLER
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State | TX
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Zip | 75701-8336
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Country | US
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Telephone | 903-939-7500
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Fax | 903-939-7728
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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