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General NPI Number Information
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NPI Number | 1376413914
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Entity Type | Individual
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Provider Name | COLBY WORKS DPT
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Gender | Male
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 5333 N SHERIDAN RD
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City | CHICAGO
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State | IL
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Zip | 60640-7371
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Country | US
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Telephone | 773-878-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 9131 BEVERLY DR
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City | OVERLAND PARK
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State | KS
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Zip | 66207-2412
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Country | US
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Telephone | 620-363-4131
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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 |
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License Number State |
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