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General NPI Number Information
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NPI Number | 1073114963
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Entity Type | Individual
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Provider Name | COLBY LEWIS GRIFFIN DPT
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Gender | Male
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1715 HOWELL MILL RD NW STE B
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City | ATLANTA
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State | GA
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Zip | 30318-3113
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Country | US
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Telephone | 404-351-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-497-0005
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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 | PTL.0020507
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 046080
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017567
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-034421
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License Number State | AZ
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