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General NPI Number Information
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NPI Number | 1124881214
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Entity Type | Organization
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Legal Business Name | COLLABCARE SOLUTIONS
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3711 SW WANAMAKER RD
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City | TOPEKA
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State | KS
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Zip | 66610
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Country | US
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Telephone | 785-838-5008
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Fax |
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Provider Business Mailing Address
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Address Line | 3711A SW WANAMAKER RD
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City | TOPEKA
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State | KS
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Zip | 66610-1368
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Country | US
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Telephone | 785-380-3310
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Fax | 785-880-8012
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Authorized Official
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Title or Position | MANAGER
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Name | HOLLY JO JOHNSON
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Credential | PA-C
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Telephone | 785-380-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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