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NPI 1497472880

NPI 1497472880 : ALEXUS COLEMON PT, DPT : GRIFFIN, GA

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General NPI Number Information
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    NPI Number           |    1497472880
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXUS COLEMON PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2022
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    124 W COLLEGE ST 
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    City                 |    GRIFFIN
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    State                |    GA
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    Zip                  |    30224-4238
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    Country              |    US
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    Telephone            |    678-688-5245
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 21068 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-4107
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    Country              |    US
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    Telephone            |    
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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       |    PT015665
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    License Number State |    GA
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