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General NPI Number Information
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NPI Number | 1477007870
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Entity Type | Individual
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Provider Name | COLLEEN DAVIS DPT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 73 PRINCETON STREET SUITE 8
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863
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Country | US
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Telephone | 978-710-7204
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Fax | 978-710-5764
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Provider Business Mailing Address
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Address Line | 73 PRINCETON STREET SUITE 8
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863
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Country | US
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Telephone | 978-710-7204
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Fax | 978-710-5764
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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 | 21236
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License Number State | MA
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