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General NPI Number Information
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NPI Number | 1225941347
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Entity Type | Organization
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Legal Business Name | THE ENDURANCE COLLECTIVE
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2623 DURHAM CHAPEL HILL BLVD
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City | DURHAM
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State | NC
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Zip | 27707-2860
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Country | US
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Telephone | 919-697-8626
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Fax |
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Provider Business Mailing Address
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Address Line | 2623 DURHAM CHAPEL HILL BLVD
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City | DURHAM
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State | NC
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Zip | 27707-2860
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Country | US
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Telephone | 919-697-8626
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MATTHEW GILL JR.
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Credential | MS, LMBT
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Telephone | 206-963-1582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | NULL
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