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General NPI Number Information
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NPI Number | 1316800600
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Entity Type | Individual
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Provider Name | KOLLIN ANDREW PAVLIK PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 12447 CLARKSVILLE PIKE STE 2C
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1243
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Country | US
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Telephone | 410-982-6251
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Fax | 410-982-6263
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Provider Business Mailing Address
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Address Line | 2470 LONGSTONE LN STE A
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City | MARRIOTTSVILLE
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State | MD
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Zip | 21104-1516
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Country | US
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Telephone | 410-982-6251
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Fax | 410-982-6263
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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 | 30716
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License Number State | MD
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