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General NPI Number Information
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NPI Number | 1477924587
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Entity Type | Organization
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Legal Business Name | ELENA COLLIER
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 1101 FOREST RETREAT RD
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-2272
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Country | US
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Telephone | 615-379-9881
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Fax | 615-581-1928
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Provider Business Mailing Address
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Address Line | 1101 FOREST RETREAT RD
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-2272
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Country | US
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Telephone | 615-379-9881
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Fax | 615-581-1928
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | DR. ELENA COLLIER
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Credential | OD
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Telephone | 615-438-6322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2848
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License Number State | TN
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