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General NPI Number Information
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NPI Number | 1205188315
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Entity Type | Individual
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Provider Name | COLLIN L. HITTLE P.T
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Gender | Male
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 8240 W. CACTUS RD OAKESON PHYSICAL THERAPY
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 602-878-9696
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Fax | 623-776-0668
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Provider Business Mailing Address
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Address Line | 8240 W. CACTUS RD OAKESON PHYSICAL THERAPY
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 623-878-9696
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Fax | 623-776-0668
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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 | 9386
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License Number State | AZ
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