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General NPI Number Information
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NPI Number | 1407322555
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Entity Type | Individual
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Provider Name | COLLIN COLE BROWN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 2309 VIRGINIA PKWY STE 400
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City | MCKINNEY
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State | TX
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Zip | 75071-3505
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Country | US
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Telephone | 972-542-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 966 N GARDEN RIDGE BLVD STE 530
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City | LEWISVILLE
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State | TX
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Zip | 75077-2876
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Country | US
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Telephone | 972-420-6605
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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 | 1293327
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License Number State | TX
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