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General NPI Number Information
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NPI Number | 1326160425
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Entity Type | Individual
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Provider Name | DORWYN CRAIG COLLIER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 3100 WINDSOR COURT
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City | ELKHART
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State | IN
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Zip | 46514
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Country | US
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Telephone | 574-266-6555
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Fax | 574-266-6888
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Provider Business Mailing Address
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Address Line | 3100 WINDSOR COURT
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City | ELKHART
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State | IN
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Zip | 46514
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Country | US
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Telephone | 574-266-6555
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Fax | 574-266-6888
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02001521A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 02001521A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 02001521A
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License Number State | IN
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