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General NPI Number Information
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NPI Number | 1154063105
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Entity Type | Organization
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Legal Business Name | COLLINS PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 1290 S WILLIS ST STE 213
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City | ABILENE
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State | TX
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Zip | 79605-4048
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Country | US
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Telephone | 325-518-7066
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Fax | 833-525-1931
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Provider Business Mailing Address
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Address Line | 1333 CLARKS DR
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City | ABILENE
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State | TX
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Zip | 79602-3144
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Country | US
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Telephone | 325-518-7066
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Fax | 833-525-1931
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY L COLLINS II
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Credential | MSPT, LMT
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Telephone | 325-518-7066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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