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General NPI Number Information
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NPI Number | 1003525718
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Entity Type | Individual
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Provider Name | COLLEEN MARGARET REMINSKY LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 2817 ROCK MERRITT AVE
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City | FORT BRAGG
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State | NC
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Zip | 28310-7394
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Country | US
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Telephone | 910-908-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 118 BLUE WATER DR
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City | RAEFORD
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State | NC
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Zip | 28376-5446
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Country | US
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Telephone | 201-486-7915
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00294200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | LAT-5962
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT1215
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License Number State | KY
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