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General NPI Number Information
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NPI Number | 1255635124
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Entity Type | Organization
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Legal Business Name | WILLIAM H. COLLINS JR
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 40675 CALIFORNIA OAKS RD SUITE D
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City | MURRIETA
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State | CA
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Zip | 92562-5790
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Country | US
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Telephone | 951-677-7393
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Fax | 951-677-7309
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Provider Business Mailing Address
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Address Line | 40675 CALIFORNIA OAKS RD STE D
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City | MURRIETA
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State | CA
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Zip | 92562-5790
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Country | US
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Telephone | 951-677-7393
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Fax | 951-677-7309
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM H COLLINS JR.
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Credential | PT
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Telephone | 951-677-7393
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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 | PT16018
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License Number State | CA
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