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General NPI Number Information
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NPI Number | 1881279883
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Entity Type | Individual
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Provider Name | COLLEEN NEAL APRN: PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 2900 E 29TH ST
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City | BRYAN
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State | TX
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Zip | 77802-2622
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Country | US
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Telephone | 979-774-8200
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Fax | 877-601-5854
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Provider Business Mailing Address
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Address Line | 8441 STATE HWY 47 STE 3115
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City | BRYAN
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State | TX
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Zip | 77807-6306
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Country | US
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Telephone | 979-436-9703
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Fax | 979-436-0072
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1031762
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1031762
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License Number State | TX
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