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General NPI Number Information
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NPI Number | 1457341091
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Entity Type | Individual
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Provider Name | THOMAS T KOLLARS DC
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Gender | Male
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 49 BEACH ST # 10
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City | WESTERLY
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State | RI
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Zip | 02891-2739
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Country | US
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Telephone | 401-596-3493
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Fax |
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Provider Business Mailing Address
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Address Line | 203 E 3RD ST
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City | LANDSDALE
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State | PA
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Zip | 19446
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Country | US
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Telephone | 860-326-6074
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC003642L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DCP00571
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 001713
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License Number State | CT
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