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NPI 1174569867

NPI 1174569867 : TRACI ANN COLLIER D.C. : SAGINAW, MI

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General NPI Number Information
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    NPI Number           |    1174569867
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    Entity Type          |    Individual 
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    Provider Name        |    TRACI ANN COLLIER D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2006
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    1500 WEISS ST 
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    City                 |    SAGINAW
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    State                |    MI
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    Zip                  |    48602-5251
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    Country              |    US
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    Telephone            |    989-497-2500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2234 DURHAM DR 
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    City                 |    SAGINAW
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    State                |    MI
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    Zip                  |    48609-9234
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2301007593
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    License Number State |    MI
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