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General NPI Number Information
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NPI Number | 1003770769
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Entity Type | Individual
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Provider Name | COLLIN PURDY PT
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Gender | Male
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 16 WING DR STE 203
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-1024
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Country | US
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Telephone | 862-260-9656
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Fax |
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Provider Business Mailing Address
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Address Line | 106 TAYLOR AVE
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4234
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4OQA02272700
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License Number State | NJ
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