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General NPI Number Information
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NPI Number | 1538440573
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Entity Type | Individual
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Provider Name | PATRICK SCOTT COLLIER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2011
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 431 E ADAMS ST
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City | SPRINGFIELD
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State | IL
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Zip | 62701-1466
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Country | US
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Telephone | 586-738-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 431 E ADAMS ST
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City | SPRINGFIELD
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State | IL
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Zip | 62701-1466
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036140312
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 036140312
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License Number State | IL
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