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General NPI Number Information
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NPI Number | 1235394727
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER COLLACO MD PHD PA
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 4003 BELLAIRE BLVD SUITE G
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City | HOUSTON
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State | TX
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Zip | 77025-1160
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Country | US
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Telephone | 281-253-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 BELLAIRE BLVD G
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City | HOUSTON
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State | TX
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Zip | 77025-1160
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Country | US
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Telephone | 713-502-7932
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Fax |
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Authorized Official
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Title or Position | OWER/PHYSICIAN
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Name | CHRISTOPHER COLLACO
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Credential | MD PHD
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Telephone | 713-502-7932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | L3266
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License Number State | TX
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