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General NPI Number Information
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NPI Number | 1891246328
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Entity Type | Individual
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Provider Name | COLBY RICHEY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 2110 N GALLOWAY AVE STE 104
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City | MESQUITE
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State | TX
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Zip | 75150-5736
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Country | US
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Telephone | 972-331-5300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | MUENSTER
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State | TX
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Zip | 76252-0303
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Country | US
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Telephone | 940-391-6818
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 32155
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026239
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 32155
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License Number State | TX
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