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General NPI Number Information
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NPI Number | 1356089155
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Entity Type | Individual
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Provider Name | DAVID COLLIER DPT
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Gender | Male
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 321 W BEN WHITE BLVD STE 101
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City | AUSTIN
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State | TX
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Zip | 78704-7086
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Country | US
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Telephone | 512-215-9272
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Fax | 512-215-8934
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Provider Business Mailing Address
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Address Line | 1033 LA POSADA DR STE 230
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City | AUSTIN
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State | TX
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Zip | 78752-3842
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Country | US
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Telephone | 512-215-9272
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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 | 1358557
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License Number State | TX
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