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General NPI Number Information
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NPI Number | 1336399161
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Entity Type | Individual
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Provider Name | MR. WENDELL COLLIER
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Gender | Male
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 8877 BASIL WESTERN RD NW SUITE 255
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-9276
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Country | US
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Telephone | 614-829-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33
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City | GROVEPORT
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State | OH
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Zip | 43125-0033
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Country | US
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Telephone | 614-829-5000
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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