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General NPI Number Information
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NPI Number | 1891090593
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Entity Type | Organization
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Legal Business Name | COLT STRATEGIES LLC
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 5228 ALDINE MAIL RD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77039-3804
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Country | US
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Telephone | 281-741-3385
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Fax | 281-741-3915
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Provider Business Mailing Address
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Address Line | 5228 ALDINE MAIL RD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77039-3804
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Country | US
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Telephone | 281-741-3385
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Fax | 281-741-3915
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Authorized Official
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Title or Position | PIC
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Name | MRS. AMY B IMBER
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Credential | RPH
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Telephone | 281-741-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27280
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License Number State | TX
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