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General NPI Number Information
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NPI Number | 1285268649
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Entity Type | Individual
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Provider Name | BRIAN COLELLA DPT
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Gender | Male
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1120 20TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20036-3406
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Country | US
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Telephone | 202-416-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 55 M ST NE APT 603
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City | WASHINGTON
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State | DC
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Zip | 20002-5180
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Country | US
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Telephone | 732-284-8219
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305213430
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT872610
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License Number State | DC
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